JODY LYNN LONG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209012350

License Status

NOT RENEWED

Business

First Name

JODY

Middle

LYNN

Last Name

LONG

Business Name

JODY LYNN LONG

Original Issue Date

12/22/2014

Effective Date

12/22/2014

Expiration Date

05/31/2016

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

07/11/2016