RICHARD E LONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071076

License Status

INACTIVE

Business

First Name

RICHARD E

Last Name

LONG

Suffix

Business Name

RICHARD E LONG MD

Original Issue Date

07/02/1985

Effective Date

07/02/1985

Expiration Date

07/31/1987

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006