TRACY RUSSELL - Registered Nurse License in Illinois | # 043079220

TRACY RUSSELL

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043079220

License Status

NOT RENEWED

Business

N

First Name

TRACY

Last Name

RUSSELL

Business Name

TRACY RUSSELL

Original Issue Date

05/08/1996

Effective Date

03/04/2003

Expiration Date

01/31/2003

State

IL

Ever Disciplined

N

LastModifiedDate

10/15/2005