License Directory

Sr Edmund Russian

Inactive

Illinois license 041058223

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
041058223
Status
Inactive
First issued
November 24, 1947
License holder
Sr Edmund Russian
Entity type
Individual

Classifications

  • Registered Professional Nurse (Nursing Board) Nursing

More from the license record

Current term began
11/24/1947

Contact

Springfield, IL 62705
Sangamon County