JACQUELINE ANNE LONG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209009428

License Status

INACTIVE

Business

First Name

JACQUELINE ANNE

Last Name

LONG

Business Name

JACQUELINE ANNE LONG

Original Issue Date

03/05/2012

Effective Date

05/21/2022

Expiration Date

05/31/2024

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

03/31/2023