MICHAEL R LONGO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058323

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

LONGO JR

Suffix

Business Name

MICHAEL R LONGO JR MD

Original Issue Date

02/14/1979

Effective Date

02/14/1979

Expiration Date

07/31/1984

City

LINCOLNSHIRE

State

Zip

60015

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006