JOSEPH LONGO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

NOT RENEWED

Business

First Name

JOSEPH

Last Name

LONGO

Business Name

JOSEPH LONGO

Original Issue Date

03/29/2006

Effective Date

03/29/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60631

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011