RICHARD S LONGLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051705

License Status

NOT RENEWED

Business

First Name

RICHARD S

Last Name

LONGLEY

Suffix

Business Name

RICHARD S LONGLEY MD

Original Issue Date

08/15/1975

Effective Date

07/24/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023