NORMA JEAN LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043032141

License Status

NOT RENEWED

Business

First Name

NORMA JEAN

Last Name

LONG

Business Name

NORMA JEAN LONG

Original Issue Date

12/14/1972

Effective Date

11/18/2004

Expiration Date

01/31/2007

City

KINGMAN

State

Zip

47952

Ever Disciplined

LastModifiedDate

03/16/2007