ANGELA LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****60

License Status

ACTIVE

Business

First Name

ANGELA

Last Name

LONG

Suffix

Business Name

ANGELA LONG MD

Original Issue Date

07/10/2003

Effective Date

07/23/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60586

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/23/2023