Professional Records
License Records
Holly Lynn Russo
Address:
4229 Chastain Dr, Melbourne, FL 32940
License #:
172946 - Expired
Issued Date:
Aug 11, 2005
Renew Date:
Oct 1, 2013
Expiration Date:
Sep 30, 2015
Type:
Registered Nurse
Holly Lynn Russo
Address:
4229 Chastain Dr, Melbourne, FL 32940
License #:
100121 - Expired
Issued Date:
Jun 29, 2012
Renew Date:
Oct 1, 2013
Expiration Date:
Sep 30, 2015
Type:
Advanced Practice Nurses
Holly L Russo
Address:
4229 Chastain Dr, Melbourne, FL
110 Longwood Ave, Rockledge, FL
Phone:
(407) 782-6563
License #:
9200296 - Active
Category:
Health Care
Issued Date:
Apr 7, 2003
Effective Date:
Feb 25, 2013
Expiration Date:
Jul 31, 2018
Type:
Registered Nurse
