WILLIAM P LONG DO 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

WILLIAM

Middle

Last Name

LONG

Suffix

Business Name

WILLIAM P LONG DO

Original Issue Date

07/29/1998

Effective Date

07/21/2023

Expiration Date

07/31/2026

City

DIXON

State

Zip

61021

County

LEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/21/2023