CARLY J LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043112972

License Status

NOT RENEWED

Business

First Name

CARLY

Middle

Last Name

LONG

Business Name

CARLY J LONG

Original Issue Date

08/08/2011

Effective Date

08/08/2011

Expiration Date

01/31/2013

City

CATLIN

State

Zip

61817

County

VERMILION

Ever Disciplined

LastModifiedDate

03/20/2013