MARIBETH A LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043057212

License Status

NOT RENEWED

Business

First Name

MARIBETH A

Last Name

LONG

Business Name

MARIBETH A LONG

Original Issue Date

05/09/1983

Effective Date

01/29/2015

Expiration Date

01/31/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

03/27/2017