JEFFREY P LONG MD - Medical Doctor License in Washington | # 036076924

JEFFREY P LONG MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076924

License Status

NOT RENEWED

Business

N

First Name

JEFFREY P

Last Name

LONG

Suffix

MD

Business Name

JEFFREY P LONG MD

Original Issue Date

04/19/1988

Effective Date

04/19/1988

Expiration Date

07/31/1996

State

WA

Ever Disciplined

N

LastModifiedDate

10/23/2006