BONNY LONGSTON - Registered Nurse License in Indiana | # 041101516

BONNY LONGSTON

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041101516

License Status

INACTIVE

Business

N

First Name

BONNY

Last Name

LONGSTON

Business Name

BONNY LONGSTON

Original Issue Date

12/27/1961

Effective Date

12/27/1961

State

IN

Ever Disciplined

N

LastModifiedDate

09/27/2006