ROGER W LONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041218143

License Status

INACTIVE

Business

First Name

ROGER W

Last Name

LONG

Business Name

ROGER W LONG

Original Issue Date

11/08/1983

Effective Date

11/08/1983

Expiration Date

05/31/2004

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

10/09/2006