JENNIFER LONG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****03

License Status

ACTIVE

Business

First Name

JENNIFER

Last Name

LONG

Business Name

JENNIFER LONG

Original Issue Date

08/13/2015

Effective Date

03/12/2024

Expiration Date

05/31/2026

City

ST CHARLES

State

Zip

60174

County

DUPAGE

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026