PHYLLIS B RUSSELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043071091

License Status

NOT RENEWED

Business

First Name

PHYLLIS B

Last Name

RUSSELL

Business Name

PHYLLIS B RUSSELL

Original Issue Date

01/16/1992

Expiration Date

01/31/1995

City

BELLEVILLE

State

Zip

62223

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005