RANDALL RALPH LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041337135

License Status

NOT RENEWED

Business

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

City

BREESE

State

Zip

62230

County

CLINTON

Ever Disciplined

LastModifiedDate

10/09/2006