DIANE E DE LONG - Registered Nurse License in Georgia | # 041229958

DIANE E DE LONG

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041229958

License Status

INACTIVE

Business

N

First Name

DIANE

Middle

E

Last Name

DE LONG

Business Name

DIANE E DE LONG

Original Issue Date

07/15/1985

Effective Date

07/15/1985

Expiration Date

05/31/2002

State

GA

Ever Disciplined

N

LastModifiedDate

10/09/2006