Wisconsin
Department of Safety and Professional Services
Long, Penny S
Registered Nurse
License number
148677-30
Date granted
08/09/2004
Date expires
02/29/2012
Class
Registered Nurse
Status
Inactive
nursingwisconsin.org
ID 35828033
LAST UPDATED 2024-02-28 22:24:15 UTC
LAST UPDATED 2024-02-28 22:24:15 UTC
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