JEFFERY D LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075630

License Status

ACTIVE

Business

Title

First Name

JEFFERY

Middle

Last Name

LONG

Business Name

JEFFERY D LONG MD

Original Issue Date

08/25/1987

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

HERSCHER

State

Zip

60941

County

KANKAKEE

Ever Disciplined

LastModifiedDate

05/17/2023