EDMONA LONGSTREET Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041164777

License Status

NOT RENEWED

Business

First Name

EDMONA

Last Name

LONGSTREET

Business Name

EDMONA LONGSTREET

Original Issue Date

10/24/1975

Effective Date

03/11/2008

Expiration Date

05/31/2010

City

BROOKINGS

State

Zip

97415

County

OREGON

Ever Disciplined

LastModifiedDate

08/16/2010

Case Number

2009002950

Action

Suspension

Discipline Start Date

05/26/2009

Discipline End Date

06/17/2009

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax release received from Department of Revenue.