DIANA J LONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043046101

License Status

INACTIVE

Business

First Name

DIANA J

Last Name

LONG

Business Name

DIANA J LONG

Original Issue Date

01/26/1979

Effective Date

10/26/2000

Expiration Date

01/31/2001

City

RIDGE FARM

State

Zip

61870

County

VERMILION

Ever Disciplined

LastModifiedDate

10/15/2005