RACHEL BETH LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036130470

License Status

NOT RENEWED

Business

Title

First Name

RACHEL

Middle

BETH

Last Name

LONG

Business Name

RACHEL BETH LONG MD

Original Issue Date

06/04/2012

Effective Date

06/04/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

11/17/2014