KATHLEEN M LONGO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****10

NOT RENEWED

N

KATHLEEN M

LONGO

MD

KATHLEEN M LONGO MD

05/16/1986

05/16/1986

07/31/1990

CHICAGO

IL

60611

COOK

II III IV V

N

09/26/2006