License holder summary

PHYLLIS JANE LONG is a Nurse-Midwife licensed to practice in Pennsylvania. The address on file for PHYLLIS JANE LONG is Manchester Township NJ 08759. This licensed professional license is not current. The license was granted 12/22/1994 and expired on 12/31/2002.

Pennsylvania

Department of State

PHYLLIS JANE LONG
Nurse-Midwife
License number
MW008375L
Date granted
12/22/1994
Date expires
12/31/2002
Class
Nurse-Midwife
Status
Inactive
Address
Manchester Township NJ 08759
palicensing.org
ID 16640871
LAST UPDATED 2024-05-12 23:38:51 UTC

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