ROBERT WILSON LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041031

License Status

NOT RENEWED

Business

First Name

ROBERT WILSON

Last Name

LONG

Suffix

Business Name

ROBERT WILSON LONG MD

Original Issue Date

05/25/1967

Effective Date

05/25/1967

Expiration Date

07/31/1987

City

DIXON

State

Zip

60121

County

LEE

Ever Disciplined

LastModifiedDate

09/20/2006