PATRICK LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036163679

License Status

ACTIVE

Business

Title

First Name

PATRICK

Last Name

LONG

Business Name

PATRICK LONG MD

Original Issue Date

02/15/2023

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

HERSCHER

State

Zip

60941

County

KANKAKEE

Ever Disciplined

LastModifiedDate

06/01/2023