STEPHANIE GENVIEVE RUSSELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043073436

License Status

NOT RENEWED

Business

First Name

STEPHANIE

Middle

GENVIEVE

Last Name

RUSSELL

Business Name

STEPHANIE GENVIEVE RUSSELL

Original Issue Date

02/19/1993

Effective Date

03/07/2001

Expiration Date

01/31/2001

City

TAYLORVILLE

State

Zip

62568

County

CHRISTIAN

Ever Disciplined

LastModifiedDate

10/15/2005