ANGELA LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036109214

License Status

ACTIVE

Business

First Name

ANGELA

Last Name

LONG

Suffix

Business Name

ANGELA LONG MD

Original Issue Date

05/12/2003

Effective Date

07/23/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60586

County

WILL

Ever Disciplined

LastModifiedDate

07/23/2023