JACQUELINE LONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073615

License Status

INACTIVE

Business

First Name

JACQUELINE

Last Name

LONG

Suffix

Business Name

JACQUELINE LONG MD

Original Issue Date

08/26/1986

Effective Date

08/26/1986

Expiration Date

07/31/1990

City

RIVERSIDE

State

Zip

92501

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006