TIMOTHY LONG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129689

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Last Name

LONG

Business Name

TIMOTHY LONG DO

Original Issue Date

02/29/2012

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/05/2023