ANGELA L LONG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****38

License Status

ACTIVE

Business

First Name

ANGELA

Middle

Last Name

LONG

Business Name

ANGELA L LONG

Original Issue Date

05/25/2016

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

SWANSEA

State

Zip

62226

County

SAINT CLAIR

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026