THOMAS C LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068777

License Status

ACTIVE

Business

First Name

THOMAS C

Last Name

LONG

Suffix

Business Name

THOMAS C LONG MD

Original Issue Date

06/14/1984

Effective Date

04/07/2023

Expiration Date

07/31/2026

City

SOUTH BARRINGTON

State

Zip

60010

Ever Disciplined

LastModifiedDate

04/07/2023