KELLY H LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041375273

License Status

NOT RENEWED

Business

First Name

KELLY

Middle

Last Name

LONG

Business Name

KELLY H LONG

Original Issue Date

04/14/2009

Effective Date

04/14/2009

Expiration Date

05/31/2010

City

GRAYSLAKE

State

Zip

60030

County

LAKE

Ever Disciplined

LastModifiedDate

08/16/2010