DANXUAN LONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125054602

License Status

CANCELLED

Business

Title

First Name

DANXUAN

Last Name

LONG

Business Name

DANXUAN LONG MD

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

06/25/2011

City

FORSYTH

State

Zip

62535

County

MACON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/29/2008