J VANLANDINGHAM LONGLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****80

License Status

NOT RENEWED

Business

First Name

J VANLANDINGHAM

Last Name

LONGLEY

Suffix

Business Name

J VANLANDINGHAM LONGLEY MD

Original Issue Date

03/25/1983

Effective Date

03/25/1983

Expiration Date

07/31/1990

City

CHICAGO

State

Zip

60611

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006