DIANE M LONG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002492

License Status

INACTIVE

Business

First Name

DIANE M

Last Name

LONG

Business Name

DIANE M LONG

Original Issue Date

07/06/2001

Effective Date

03/17/2010

Expiration Date

05/31/2012

City

HOMEWOOD

State

Zip

60430

County

COOK

Ever Disciplined

LastModifiedDate

03/08/2012