ROBERT PHILLIP LONG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036143792

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

PHILLIP

Last Name

LONG

Business Name

ROBERT PHILLIP LONG DO

Original Issue Date

07/10/2017

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

ITASCA

State

Zip

60143

County

DUPAGE

Ever Disciplined

LastModifiedDate

03/18/2024