Department of Public Health
Board of Nursing
RUSSELL TANNER
Registered Nurse
License number
90163
Date granted
08/06/2009
Date expires
04/30/2015
Class
Registered Nurse
Status
Active
Address
35 Admirals Dr E, BAY SHORE, NY, 11706-8102
nursingct.org
ID 4483639
LAST UPDATED 2024-02-29 04:41:17 UTC
LAST UPDATED 2024-02-29 04:41:17 UTC
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