PHYLLIS M LONG Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041285863

License Status

ACTIVE

Business

First Name

PHYLLIS M

Last Name

LONG

Business Name

PHYLLIS M LONG

Original Issue Date

11/15/1994

Effective Date

05/14/2024

Expiration Date

05/31/2026

City

MANTENO

State

Zip

60950

County

KANKAKEE

Ever Disciplined

LastModifiedDate

02/28/2026