Tracey M Long
InactiveIllinois license 045004006
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 045004006
- Status
- Inactive (Cancelled)
- First issued
- March 1, 2017
- Expired
- February 13, 2018
- License holder
- Tracey M Long
- Entity type
- Individual
Classifications
- Licensed Nursing Home Administrator Temporary Other Health Care
More from the license record
- Current term began
- 02/13/2017
Contact
Elizabeth, IL 61028
Jo Daviess County