TIQUELLA M RUSSELL Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041395183

License Status

NOT RENEWED

Business

First Name

TIQUELLA

Middle

Last Name

RUSSELL

Business Name

TIQUELLA M RUSSELL

Original Issue Date

08/05/2011

Effective Date

08/18/2020

Expiration Date

08/31/2022

City

TOMBALL

State

Zip

77377

County

KANKAKEE

Ever Disciplined

LastModifiedDate

10/14/2022