JODY LYNN LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041397786

License Status

NOT RENEWED

Business

First Name

JODY

Middle

LYNN

Last Name

LONG

Business Name

JODY LYNN LONG

Original Issue Date

11/02/2011

Effective Date

05/05/2016

Expiration Date

05/31/2018

City

VALPARAISO

State

Zip

46385

County

INDIANA

Ever Disciplined

LastModifiedDate

07/19/2018