RUSSELL B TAN - Registered Nurse License in Illinois | # 043114418

RUSSELL B TAN

Business Entity

ACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043114418

License Status

ACTIVE

Business

N

First Name

RUSSELL

Middle

B

Last Name

TAN

Business Name

RUSSELL B TAN

Original Issue Date

02/28/2012

Effective Date

01/23/2025

Expiration Date

01/31/2027

State

IL

Ever Disciplined

N

LastModifiedDate

01/23/2025