TERRY LEA LONG - Registered Nurse License in Illinois | # 043052236

TERRY LEA LONG

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052236

License Status

INACTIVE

Business

N

First Name

TERRY LEA

Last Name

LONG

Business Name

TERRY LEA LONG

Original Issue Date

06/05/1981

Effective Date

01/02/2019

Expiration Date

01/31/2021

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2020