BRONWYN GILLIAN LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076026

License Status

ACTIVE

Business

Title

First Name

BRONWYN

Middle

GILLIAN

Last Name

LONG

Business Name

BRONWYN GILLIAN LONG MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2026

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Urology

Ever Disciplined

LastModifiedDate

04/15/2025