MYRNA L LONGSTREET Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043012124

License Status

INACTIVE

Business

First Name

MYRNA L

Last Name

LONGSTREET

Business Name

MYRNA L LONGSTREET

Original Issue Date

04/21/1964

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

10/21/2005