ROBERT W LONG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

ACTIVE

Business

First Name

ROBERT W

Last Name

LONG

Suffix

Business Name

ROBERT W LONG DO

Original Issue Date

03/16/1993

Effective Date

05/21/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60174

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/21/2023