JUDY C AZCONA LONG Registered Nurse License verification

Business Entity

NOT RENEWED

License Type

Registered Nurse

Description

REGISTERED PROFESSIONAL NURSE

License Number

041269746

License Status

NOT RENEWED

Business

First Name

JUDY C

Last Name

AZCONA LONG

Business Name

JUDY C AZCONA LONG

Original Issue Date

09/28/1992

Effective Date

04/11/2018

Expiration Date

09/30/2020

City

LAKE GENEVA

State

Zip

53147

County

WISCONSIN

Ever Disciplined

LastModifiedDate

01/14/2021