THERESA M LONGO Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****88

License Status

ACTIVE

Business

First Name

THERESA M

Last Name

LONGO

Business Name

THERESA M LONGO

Original Issue Date

07/23/2002

Effective Date

03/03/2026

Expiration Date

05/31/2028

City

ORLAND PARK

State

Zip

60467

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/03/2026