CYNTHIA L LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036098589

License Status

NOT RENEWED

Business

First Name

CYNTHIA

Middle

Last Name

LONG

Suffix

Business Name

CYNTHIA L LONG MD

Original Issue Date

08/06/1998

Effective Date

08/06/1998

Expiration Date

07/31/2002

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

10/09/2006