EMMA L LONG Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125031624

License Status

EXPIRED

Business

First Name

EMMA L

Last Name

LONG

Business Name

EMMA L LONG

Original Issue Date

06/01/1994

Effective Date

06/01/1994

Expiration Date

06/30/1997

City

HINSDALE

State

Zip

60521

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006