DIANE M LONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041207157

License Status

INACTIVE

Business

First Name

DIANE M

Last Name

LONG

Business Name

DIANE M LONG

Original Issue Date

10/07/1981

Effective Date

03/28/2012

Expiration Date

05/31/2014

City

HERSCHER

State

Zip

60941

County

KANKAKEE

Ever Disciplined

LastModifiedDate

03/06/2014