DANXUAN LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****69

License Status

ACTIVE

Business

Title

First Name

DANXUAN

Last Name

LONG

Business Name

DANXUAN LONG MD

Original Issue Date

07/01/2011

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

FORSYTH

State

Zip

62535

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/06/2023