BROOK NICOLE LONGLEY Registered Nurse License verification

Business Entity

ACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041508096

License Status

ACTIVE

Business

First Name

BROOK

Middle

NICOLE

Last Name

LONGLEY

Business Name

BROOK NICOLE LONGLEY

BusinessDBA

BROOK WAGNER

Original Issue Date

04/09/2021

Effective Date

05/23/2024

Expiration Date

05/31/2026

City

JERSEYVILLE

State

Zip

62052

County

JERSEY

Ever Disciplined

LastModifiedDate

03/01/2026