RUSSELL KEITH CROUSE Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041435986

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

KEITH

Last Name

CROUSE

Business Name

RUSSELL KEITH CROUSE

Original Issue Date

10/19/2015

Effective Date

05/03/2016

Expiration Date

05/31/2018

City

TROY

State

Zip

12180

County

NEW YORK

Ever Disciplined

LastModifiedDate

07/19/2018