BRENDA L LONGFELLOW Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041256558

License Status

INACTIVE

Business

First Name

BRENDA L

Last Name

LONGFELLOW

Business Name

BRENDA L LONGFELLOW

Original Issue Date

04/06/1990

Effective Date

05/21/2012

Expiration Date

05/31/2014

City

GARDNER

State

Zip

60424

County

GRUNDY

Ever Disciplined

LastModifiedDate

03/06/2014