CARLY J LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041403436

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

Last Name

LONG

Business Name

CARLY J LONG

Original Issue Date

07/23/2012

Effective Date

04/27/2020

Expiration Date

08/31/2022

City

CATLIN

State

Zip

61817

County

VERMILION

Ever Disciplined

LastModifiedDate

10/14/2022