TIFFANY N LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041330065

License Status

NOT RENEWED

Business

First Name

TIFFANY

Middle

Last Name

LONG

Business Name

TIFFANY N LONG

Original Issue Date

05/21/2002

Effective Date

05/21/2002

Expiration Date

05/31/2004

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006