JESSE LONG VAN LE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****12

License Status

ACTIVE

Business

First Name

JESSE

Middle

LONG

Last Name

VAN LE

Suffix

Business Name

JESSE LONG VAN LE MD

Original Issue Date

07/22/2003

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023