DAWN M LONGO Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****82

License Status

NOT RENEWED

Business

First Name

DAWN

Middle

Last Name

LONGO

Business Name

DAWN M LONGO

Original Issue Date

11/13/2019

Effective Date

11/13/2019

Expiration Date

09/30/2020

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021