NICOLE MARIE LONG - Registered Nurse License in Pennsylvania | # 041345494

NICOLE MARIE LONG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345494

License Status

NOT RENEWED

Business

N

First Name

NICOLE

Middle

MARIE

Last Name

LONG

Business Name

NICOLE MARIE LONG

Original Issue Date

03/28/2005

Effective Date

03/28/2005

Expiration Date

05/31/2006

State

PA

Ever Disciplined

N

LastModifiedDate

10/09/2006