EARL DALE LONG DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038003213

License Status

NOT RENEWED

Business

First Name

EARL DALE

Last Name

LONG

Suffix

Business Name

EARL DALE LONG DC

Original Issue Date

09/02/1966

Effective Date

07/05/2011

Expiration Date

07/31/2014

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

11/17/2014