CONCHITA RUSSELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043036835

License Status

NOT RENEWED

Business

First Name

CONCHITA

Last Name

RUSSELL

Business Name

CONCHITA RUSSELL

Original Issue Date

01/30/1975

City

WICKLIFFE

State

Zip

42087

County

KENTUCKY

Ever Disciplined

LastModifiedDate

10/21/2005