DANIEL LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041156264

License Status

NOT RENEWED

Business

First Name

DANIEL

Last Name

LONG

Business Name

DANIEL LONG

Original Issue Date

09/11/1974

Effective Date

09/11/1974

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

09/27/2006