MAMIE J LONG MD Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041133777

License Status

NOT RENEWED

Business

First Name

MAMIE J

Last Name

LONG

Suffix

Business Name

MAMIE J LONG MD

Original Issue Date

11/26/1969

Effective Date

11/26/1969

City

CHICAGO

State

Zip

60616

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006