JEFFERY D 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

JEFFERY

Middle

Last Name

LONG

Business Name

JEFFERY D LONG MD

Original Issue Date

11/03/1987

Effective Date

05/17/2023

Expiration Date

07/31/2026

City

HERSCHER

State

Zip

60941

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/17/2023