JASON MICHAEL LONG MD - Medical Doctor License in Michigan | # 036117184

JASON MICHAEL LONG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117184

License Status

NOT RENEWED

Business

N

First Name

JASON

Middle

MICHAEL

Last Name

LONG

Suffix

MD

Business Name

JASON MICHAEL LONG MD

Original Issue Date

11/16/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

State

MI

Ever Disciplined

N

LastModifiedDate

11/14/2011