MARY NASH LONG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****55

License Status

NOT RENEWED

Business

First Name

MARY

Middle

NASH

Last Name

LONG

Business Name

MARY NASH LONG

Original Issue Date

03/18/2004

Effective Date

03/13/2018

Expiration Date

09/30/2020

City

BELLEVILLE

State

Zip

62226

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

01/14/2021