EMMA L LONG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036093396

License Status

NOT RENEWED

Business

First Name

EMMA L

Last Name

LONG

Business Name

EMMA L LONG

Original Issue Date

07/05/1996

Effective Date

07/05/1996

Expiration Date

07/31/1999

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

09/20/2006