EMMA L LONG Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****88

License Status

NOT RENEWED

Business

First Name

EMMA L

Last Name

LONG

Business Name

EMMA L LONG

Original Issue Date

12/05/1996

Effective Date

12/05/1996

Expiration Date

07/31/1999

City

HINSDALE

State

Zip

60521

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006