DATHEL RUSSELL - Registered Nurse License in Illinois | # 043017427

DATHEL RUSSELL

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043017427

License Status

INACTIVE

Business

N

First Name

DATHEL

Last Name

RUSSELL

Business Name

DATHEL RUSSELL

Original Issue Date

12/19/1966

State

IL

Ever Disciplined

N

LastModifiedDate

10/21/2005