LAURA LYNN LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****51

License Status

ACTIVE

Business

First Name

LAURA

Middle

LYNN

Last Name

LONG

Suffix

Business Name

LAURA LYNN LONG MD

Original Issue Date

10/28/2005

Effective Date

06/07/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/07/2023