JULIE R LONG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****66

License Status

ACTIVE

Business

First Name

JULIE

Middle

Last Name

LONG

Business Name

JULIE R LONG

Original Issue Date

10/10/2020

Effective Date

03/08/2026

Expiration Date

05/31/2028

City

DEKALB

State

Zip

60115

County

DEKALB

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/08/2026