ANDREW WALKER LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036170636

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

WALKER

Last Name

LONG

Business Name

ANDREW WALKER LONG MD

Original Issue Date

06/18/2024

Effective Date

06/18/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

06/18/2024