SAMANTHA DEAN LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041500188

License Status

NOT RENEWED

Business

First Name

SAMANTHA

Middle

DEAN

Last Name

LONG

Business Name

SAMANTHA DEAN LONG

Original Issue Date

09/03/2020

Effective Date

05/07/2022

Expiration Date

06/30/2024

City

DIXON

State

Zip

61021

Ever Disciplined

LastModifiedDate

02/05/2025