MARIE L LONG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036091589

License Status

NOT RENEWED

Business

First Name

MARIE L

Last Name

LONG

Business Name

MARIE L LONG

Original Issue Date

08/14/1995

Effective Date

07/08/2008

Expiration Date

07/31/2011

City

MIAMI

State

Zip

33166

County

FLORIDA

Ever Disciplined

LastModifiedDate

11/14/2011