KIRA NICOLE LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139358

License Status

NOT RENEWED

Business

Title

First Name

KIRA

Middle

NICOLE

Last Name

LONG

Business Name

KIRA NICOLE LONG MD

Original Issue Date

11/12/2015

Effective Date

04/27/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

01/14/2021