DIANE M LONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041139538

License Status

INACTIVE

Business

First Name

DIANE M

Last Name

LONG

Business Name

DIANE M LONG

Original Issue Date

06/17/1971

Effective Date

05/19/2016

Expiration Date

05/31/2018

City

AURORA

State

Zip

60506

County

KANE

Ever Disciplined

LastModifiedDate

03/06/2018