PERRUNE-ELISABETH LONGANGE-EKETSHI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125080790

License Status

EXPIRED

Business

Title

First Name

PERRUNE-ELISABETH

Last Name

LONGANGE-EKETSHI

Business Name

PERRUNE-ELISABETH LONGANGE-EKETSHI MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2025

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/03/2025