FRANCINE LONG MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125013179

License Status

EXPIRED

Business

First Name

FRANCINE

Last Name

LONG

Suffix

Business Name

FRANCINE LONG MD

Original Issue Date

06/30/1981

Effective Date

06/30/1981

Expiration Date

06/29/1983

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006