EUGENE R LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

License Status

NOT RENEWED

Business

First Name

EUGENE R

Last Name

LONG

Suffix

Business Name

EUGENE R LONG MD

Original Issue Date

07/26/1991

Effective Date

07/26/1991

Expiration Date

07/31/1993

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006