AMANDA K LONG Advanced Practice Nurse License verification

Business Entity

NOT RENEWED

License Type

Advanced Practice Nurse

Description

ADVANCED PRACTICE REGISTERED NURSE

License Number

209021408

License Status

NOT RENEWED

Business

First Name

AMANDA

Middle

Last Name

LONG

Business Name

AMANDA K LONG

Original Issue Date

06/11/2020

Effective Date

06/11/2020

Expiration Date

08/31/2022

City

FORT WORTH

State

Zip

76137

County

TEXAS

Ever Disciplined

LastModifiedDate

10/14/2022