Person Information

Name:JACQUELINE KERSHAW RUSSELL

Address Information

Address(city state zipcode):CAPE MAY CT HSE NJ08210

License Information

Type:Certified Registered Nurse PractitionerSecondary Type:Family HealthNumber:TP005306B
Profession:NursingStatus:InactiveDate This Status:8/14/2000
Issue Date:8/25/1998Expires:10/31/2000Last Renewed:8/25/1998

Prerequisite Information

Licensee:RUSSELL, JACQUELINE KERSHAWRelationship:Self Automatic
Type:Registered NurseNumber:RN349482LStatus:Inactive
Date of Association:Date of Expiration:

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