BRENDA L LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041102914

License Status

NOT RENEWED

Business

First Name

BRENDA L

Last Name

LONG

Business Name

BRENDA L LONG

Original Issue Date

04/10/1962

Effective Date

04/10/1962

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006