PHYLLIS ANN LONG Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

LICENSED PRACTICAL NURSE

License Number

043022398

License Status

INACTIVE

Business

First Name

PHYLLIS ANN

Last Name

LONG

Business Name

PHYLLIS ANN LONG

Original Issue Date

01/31/1968

Expiration Date

01/31/1993

City

WICHITA

State

Zip

67203

County

KANSAS

Ever Disciplined

LastModifiedDate

10/21/2005