DAVID M LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041376038

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

Last Name

LONG

Business Name

DAVID M LONG

Original Issue Date

06/16/2009

Effective Date

05/19/2014

Expiration Date

05/31/2016

City

CHARLESTON

State

Zip

61920

County

COLES

Ever Disciplined

LastModifiedDate

07/11/2016