WILLIAM P LONG DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000324

License Status

EXPIRED

Business

First Name

WILLIAM

Middle

Last Name

LONG

Suffix

Business Name

WILLIAM P LONG DO

Original Issue Date

04/16/1996

Effective Date

04/16/1996

Expiration Date

05/31/1996

City

DIXON

State

Zip

61021

County

LEE

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

09/25/2006