EUGENE M LONG JR MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036047286

License Status

INACTIVE

Business

First Name

EUGENE M

Last Name

LONG JR

Suffix

Business Name

EUGENE M LONG JR MD

Original Issue Date

04/23/1973

Effective Date

04/23/1973

Expiration Date

07/31/1987

City

AUGUSTA

State

Zip

30904

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006