EDWIN TUTT LONG MD - Medical Doctor License in Pennsylvania | # 036030713

EDWIN TUTT LONG MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036030713

License Status

INACTIVE

Business

N

First Name

EDWIN TUTT

Last Name

LONG

Suffix

MD

Business Name

EDWIN TUTT LONG MD

Original Issue Date

07/05/1951

Effective Date

07/05/1951

Expiration Date

07/31/1984

State

PA

Ever Disciplined

N

LastModifiedDate

09/20/2006