JEFFREY P LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

NOT RENEWED

Business

First Name

JEFFREY P

Last Name

LONG

Suffix

Business Name

JEFFREY P LONG MD

Original Issue Date

06/24/1988

Effective Date

06/24/1988

Expiration Date

07/31/1993

City

DECATUR

State

Zip

62526

County

MACON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006