ISAAC DUSTIN LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043121841

License Status

NOT RENEWED

Business

First Name

ISAAC

Middle

DUSTIN

Last Name

LONG

Business Name

ISAAC DUSTIN LONG

Original Issue Date

12/04/2015

Effective Date

12/04/2015

Expiration Date

01/31/2017

City

CARTERVILLE

State

Zip

62918

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

03/27/2017