JOHN M LONGO MD

Business Entity
NOT RENEWED

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****28

NOT RENEWED

N

JOHN M

LONGO

MD

JOHN M LONGO MD

06/08/1989

06/08/1989

07/31/1993

CHICAGO

IL

60612

COOK

II III IV V

N

04/05/2020