EVELYN J LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043020249

License Status

NOT RENEWED

Business

First Name

EVELYN J

Last Name

LONG

Business Name

EVELYN J LONG

Original Issue Date

06/28/1967

Effective Date

03/04/2005

Expiration Date

01/31/2005

City

LOVINGTON

State

Zip

61937

County

MOULTRIE

Ever Disciplined

LastModifiedDate

10/15/2005