CHARLES ANDREW LONGDON DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****28

License Status

ACTIVE

Business

First Name

CHARLES

Middle

ANDREW

Last Name

LONGDON

Suffix

Business Name

CHARLES ANDREW LONGDON DO

Original Issue Date

07/14/2003

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023