STEPHEN R LONGO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125023438

License Status

EXPIRED

Business

First Name

STEPHEN

Middle

Last Name

LONGO

Business Name

STEPHEN R LONGO

Original Issue Date

05/01/1989

Effective Date

05/01/1989

Expiration Date

06/21/1992

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006