EUGENE R LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077050

License Status

NOT RENEWED

Business

First Name

EUGENE R

Last Name

LONG

Suffix

Business Name

EUGENE R LONG MD

Original Issue Date

06/04/1988

Effective Date

06/04/1988

Expiration Date

07/31/1993

City

LAGRANGE

State

Zip

30240

County

GEORGIA

Ever Disciplined

LastModifiedDate

01/05/2009