DEBRA J LONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041220454

License Status

INACTIVE

Business

First Name

DEBRA J

Last Name

LONG

Business Name

DEBRA J LONG

Original Issue Date

11/08/1983

Effective Date

05/09/2012

Expiration Date

05/31/2014

City

ROCKFORD

State

Zip

61114

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

03/06/2014