ANDREW WALKER LONG MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125077786

License Status

CANCELLED

Business

Title

First Name

ANDREW

Middle

WALKER

Last Name

LONG

Business Name

ANDREW WALKER LONG MD

Original Issue Date

06/23/2021

Effective Date

06/23/2021

Expiration Date

06/22/2024

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/06/2021