MICHAEL R LONGO JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

MICHAEL R

Last Name

LONGO JR

Suffix

Business Name

MICHAEL R LONGO JR MD

Original Issue Date

01/01/1997

Expiration Date

07/31/1984

City

WAUKEGAN

State

Zip

60085

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006