DIANA MAE LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041210240

License Status

NOT RENEWED

Business

First Name

DIANA MAE

Last Name

LONG

Business Name

DIANA MAE LONG

Original Issue Date

05/10/1982

Effective Date

05/10/1982

Expiration Date

05/31/1984

City

CHICAGO

State

Zip

60660

County

COOK

Ever Disciplined

LastModifiedDate

09/27/2006