GERNON MATTHEW LONGO MD - Medical Doctor License in Nebraska | # 036110294

GERNON MATTHEW LONGO MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110294

License Status

NOT RENEWED

Business

N

First Name

GERNON

Middle

MATTHEW

Last Name

LONGO

Suffix

MD

Business Name

GERNON MATTHEW LONGO MD

Original Issue Date

10/14/2003

Effective Date

04/28/2014

Expiration Date

07/31/2017

State

NE

Ever Disciplined

N

LastModifiedDate

11/01/2017