NICOLE MARIE LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041345494

License Status

NOT RENEWED

Business

First Name

NICOLE

Middle

MARIE

Last Name

LONG

Business Name

NICOLE MARIE LONG

Original Issue Date

03/28/2005

Effective Date

03/28/2005

Expiration Date

05/31/2006

City

PHILADELPHIA

State

Zip

19135

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/09/2006