RUSSATTA I ISOM Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041370011

License Status

INACTIVE

Business

First Name

RUSSATTA

Middle

Last Name

ISOM

Business Name

RUSSATTA I ISOM

Original Issue Date

07/28/2008

Effective Date

04/12/2010

Expiration Date

05/31/2012

City

KALAMAZOO

State

Zip

49009

County

MICHIGAN

Ever Disciplined

LastModifiedDate

03/08/2012