ROBERT VAUGHN RUSSELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043040084

License Status

NOT RENEWED

Business

First Name

ROBERT VAUGHN

Last Name

RUSSELL

Business Name

ROBERT VAUGHN RUSSELL

Original Issue Date

01/13/1977

Effective Date

11/16/2010

Expiration Date

01/31/2013

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/20/2013