MILDRED L RUSSMAN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020772

License Status

INACTIVE

Business

First Name

MILDRED L

Last Name

RUSSMAN

Business Name

MILDRED L RUSSMAN

Original Issue Date

10/02/1967

City

DIXON

State

Zip

61021

County

LEE

Ever Disciplined

LastModifiedDate

10/21/2005