JESSICA ROSE LONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070845

License Status

CANCELLED

Business

Title

First Name

JESSICA

Middle

ROSE

Last Name

LONG

Business Name

JESSICA ROSE LONG MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2021

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

01/06/2020