THERESA P LONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041094608

License Status

INACTIVE

Business

First Name

THERESA P

Last Name

LONG

Business Name

THERESA P LONG

Original Issue Date

11/25/1959

Effective Date

11/25/1959

Expiration Date

05/31/2008

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

03/11/2008