RUBY JANEL LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****99

License Status

NOT RENEWED

Business

Title

First Name

RUBY

Middle

JANEL

Last Name

LONG

Business Name

RUBY JANEL LONG MD

Original Issue Date

01/30/2020

Effective Date

01/30/2020

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60634

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021