BRYAN EUGENE RUSSELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043115682

License Status

NOT RENEWED

Business

First Name

BRYAN

Middle

EUGENE

Last Name

RUSSELL

Business Name

BRYAN EUGENE RUSSELL

Original Issue Date

09/21/2012

Effective Date

12/19/2016

Expiration Date

01/31/2019

City

MATTOON

State

Zip

61938

Ever Disciplined

LastModifiedDate

03/28/2019