THOMAS LONG BELANGER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

LONG

Last Name

BELANGER

Suffix

Business Name

THOMAS LONG BELANGER JR MD

Original Issue Date

09/25/2012

Effective Date

09/25/2012

Expiration Date

07/31/2014

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014