LYNDSAY DANIELLE LONG DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076972

License Status

CANCELLED

Business

Title

First Name

LYNDSAY

Middle

DANIELLE

Last Name

LONG

Business Name

LYNDSAY DANIELLE LONG DO

Original Issue Date

06/29/2020

Effective Date

06/29/2020

Expiration Date

06/28/2023

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

04/28/2020