BRANDIE NATASHA LONG DC Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038012626

License Status

ACTIVE

Business

Title

First Name

BRANDIE

Middle

NATASHA

Last Name

LONG

Business Name

BRANDIE NATASHA LONG DC

Original Issue Date

05/30/2014

Effective Date

08/16/2023

Expiration Date

07/31/2026

City

MANITO

State

Zip

61546

County

TAZEWELL

Ever Disciplined

LastModifiedDate

08/16/2023