DENNIS A LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****25

License Status

ACTIVE

Business

First Name

DENNIS A

Last Name

LONG

Suffix

Business Name

DENNIS A LONG MD

Original Issue Date

01/01/1997

Effective Date

04/20/2023

Expiration Date

07/31/2026

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/20/2023