FLORENCE LONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039809

License Status

INACTIVE

Business

First Name

FLORENCE

Last Name

LONG

Suffix

Business Name

FLORENCE LONG MD

Original Issue Date

07/01/1965

Effective Date

07/01/1965

Expiration Date

07/31/1999

City

BANNOCKBURN

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006