J VANLANDINGHAM LONGLEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036065751

License Status

INACTIVE

Business

First Name

J VANLANDINGHAM

Last Name

LONGLEY

Suffix

Business Name

J VANLANDINGHAM LONGLEY MD

Original Issue Date

12/07/1982

Effective Date

12/07/1982

Expiration Date

07/31/1990

City

ATLANTA

State

Zip

30309

County

GEORGIA

Ever Disciplined

LastModifiedDate

09/20/2006