JAMES ALAN LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161852

License Status

NOT RENEWED

Business

Title

First Name

JAMES

Middle

ALAN

Last Name

LONG

Business Name

JAMES ALAN LONG MD

Original Issue Date

08/08/2022

Effective Date

08/08/2022

Expiration Date

07/31/2023

City

MOUNTAIN BRK

State

Zip

35213

County

JEFFERSON

Ever Disciplined

LastModifiedDate

11/30/2023