JUAN A LONGHI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017397

License Status

EXPIRED

Business

First Name

JUAN A

Last Name

LONGHI

Suffix

Business Name

JUAN A LONGHI MD

Original Issue Date

07/02/1984

Effective Date

07/02/1984

Expiration Date

08/01/1986

City

SPRINGFIELD

State

Zip

62708

County

SANGAMON

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

09/22/2006