TINA L LONGPHEE Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209020492

License Status

ACTIVE

Business

First Name

TINA

Middle

Last Name

LONGPHEE

Business Name

TINA L LONGPHEE

Original Issue Date

11/19/2019

Effective Date

05/08/2024

Expiration Date

05/31/2026

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/02/2026