ROBERT PHILLIP LONG DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****45

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

PHILLIP

Last Name

LONG

Business Name

ROBERT PHILLIP LONG DO

Original Issue Date

07/10/2017

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

ITASCA

State

Zip

60143

County

DUPAGE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023