LOREN GARRET LONGENECKER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036160751

License Status

ACTIVE

Business

Title

First Name

LOREN

Middle

GARRET

Last Name

LONGENECKER

Business Name

LOREN GARRET LONGENECKER MD

Original Issue Date

06/03/2022

Effective Date

07/13/2023

Expiration Date

07/31/2026

City

ASBURY

State

Zip

52002

Ever Disciplined

LastModifiedDate

07/13/2023