BRENT DWIGHT LONGTIN Registered Nurse License verification

Business Entity

INACTIVE

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041372671

License Status

INACTIVE

Business

First Name

BRENT

Middle

DWIGHT

Last Name

LONGTIN

Business Name

BRENT DWIGHT LONGTIN

Original Issue Date

10/30/2008

Effective Date

10/30/2008

Expiration Date

05/31/2010

City

EDEN PRAIRIE

State

Zip

55344

County

MINNESOTA

Ever Disciplined

LastModifiedDate

03/05/2010