RACHEL BETH LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****00

License Status

NOT RENEWED

Business

Title

First Name

RACHEL

Middle

BETH

Last Name

LONG

Business Name

RACHEL BETH LONG MD

Original Issue Date

06/04/2012

Effective Date

06/04/2012

Expiration Date

07/31/2014

City

CHICAGO

State

Zip

60625

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014