LAURA D LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041329932

License Status

NOT RENEWED

Business

First Name

LAURA

Middle

Last Name

LONG

Business Name

LAURA D LONG

Original Issue Date

05/10/2002

Effective Date

05/10/2002

Expiration Date

05/31/2006

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/09/2006