JERWONIA L RUSSELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115668

License Status

NOT RENEWED

Business

First Name

JERWONIA

Middle

Last Name

RUSSELL

Business Name

JERWONIA L RUSSELL

Original Issue Date

09/19/2012

Effective Date

01/28/2015

Expiration Date

01/31/2017

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

03/27/2017