LAURA L LONG MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042619492

License Status

NOT RENEWED

Business

Business Name

LAURA L LONG MD SC

Original Issue Date

04/16/2009

Effective Date

06/19/2014

Expiration Date

01/01/2015

City

CHICAGO

State

Zip

60603

County

COOK

Ever Disciplined

LastModifiedDate

11/04/2015