MARY ANN LONGBRAKE Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041129545

License Status

INACTIVE

Business

First Name

MARY ANN

Last Name

LONGBRAKE

Business Name

MARY ANN LONGBRAKE

Original Issue Date

12/26/1968

Effective Date

12/26/1968

Expiration Date

05/01/1970

City

BRISTOL

State

Zip

46507

County

INDIANA

Ever Disciplined

LastModifiedDate

09/27/2006