JULIE ANN LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

JULIE

Middle

ANN

Last Name

LONG

Business Name

JULIE ANN LONG MD

Original Issue Date

12/18/2018

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

PLANTATION

State

Zip

33317

County

CHAMPAIGN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023