SAMANTHA LONG Advanced Practice Nurse License verification

Business Entity

ACTIVE

License Type

Advanced Practice Nurse

Description

ADV PRACTICE NURSE CONTROL SUB

License Number

30*****92

License Status

ACTIVE

Business

First Name

SAMANTHA

Last Name

LONG

Business Name

SAMANTHA LONG

Original Issue Date

05/26/2015

Effective Date

05/01/2024

Expiration Date

05/31/2026

City

ELMHURST

State

Zip

60126

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/02/2026