RANDALL RALPH LONG - Registered Nurse License in Illinois | # 041337135

RANDALL RALPH LONG

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337135

License Status

NOT RENEWED

Business

N

First Name

RANDALL

Middle

RALPH

Last Name

LONG

Business Name

RANDALL RALPH LONG

Original Issue Date

08/27/2003

Effective Date

08/27/2003

Expiration Date

05/31/2006

State

IL

Ever Disciplined

N

LastModifiedDate

10/09/2006