STEPHANIE BLAIR LONG MD - Medical Doctor License in California | # 036159408

STEPHANIE BLAIR LONG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036159408

License Status

NOT RENEWED

Business

N

Title

MD

First Name

STEPHANIE

Middle

BLAIR

Last Name

LONG

Business Name

STEPHANIE BLAIR LONG MD

Original Issue Date

02/08/2022

Effective Date

02/08/2022

Expiration Date

07/31/2023

State

CA

Ever Disciplined

N

LastModifiedDate

11/30/2023