DYMOND DENEE LONG Advanced Practice Nurse License verification

Business Entity

INACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****85

License Status

INACTIVE

Business

First Name

DYMOND

Middle

DENEE

Last Name

LONG

Business Name

DYMOND DENEE LONG

Original Issue Date

10/02/2018

Effective Date

09/29/2020

Expiration Date

05/31/2022

City

CHICAGO

State

Zip

60643

County

COOK

Specialty/Qualifier

PRACTITIONER

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/29/2020