BRUCE DAVID LONG MD - Medical Doctor License in Ohio | # 036063615

BRUCE DAVID LONG MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063615

License Status

INACTIVE

Business

N

First Name

BRUCE DAVID

Last Name

LONG

Suffix

MD

Business Name

BRUCE DAVID LONG MD

Original Issue Date

12/03/1981

Effective Date

12/03/1981

Expiration Date

07/31/1990

State

OH

Ever Disciplined

N

LastModifiedDate

09/20/2006