MARLA J LONG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209002857

License Status

INACTIVE

Business

First Name

MARLA

Middle

Last Name

LONG

Business Name

MARLA J LONG

Original Issue Date

07/11/2001

Effective Date

06/03/2014

Expiration Date

05/31/2016

City

LAKE ZURICH

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

03/16/2016