DAVID ANTONIO LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144020

License Status

ACTIVE

Business

Title

First Name

DAVID

Middle

ANTONIO

Last Name

LONG

Business Name

DAVID ANTONIO LONG MD

Original Issue Date

08/03/2017

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

ATLANTA

State

Zip

30308

Ever Disciplined

LastModifiedDate

07/20/2023