MARY A LONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041108219

License Status

INACTIVE

Business

First Name

MARY A

Last Name

LONG

Business Name

MARY A LONG

Original Issue Date

12/06/1963

Effective Date

12/06/1963

Expiration Date

05/31/1996

City

ROCHESTER

State

Zip

62563

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/27/2006