TERRY LEA LONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043052236

License Status

INACTIVE

Business

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

City

JACKSONVILLE

State

Zip

62650

County

MORGAN

Ever Disciplined

LastModifiedDate

11/08/2020