License holder summary

THERESE ANN LONG is a Nurse Registered & Licensed Practical - Rn Provisional licensed to practice in Michigan. The address on file for THERESE ANN LONG is Indianapolis, IN 46202. This licensed professional license is not current. The license was granted 04/07/2010 and expired on 04/07/2011.

Michigan

Department of Licensing and Regulation

THERESE ANN LONG
Nurse Registered & Licensed Practical - Rn Provisional
License number
4704277216
Date granted
04/07/2010
Date expires
04/07/2011
Class
Nurse Registered & Licensed Practical - Rn Provisional
Status
Lapsed
Address
Indianapolis, IN 46202
michiganlicensing.org
ID 25840372
LAST UPDATED 2024-03-30 19:33:54 UTC

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