GERALD J LONGA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036081346

License Status

ACTIVE

Business

First Name

GERALD J

Last Name

LONGA

Suffix

Business Name

GERALD J LONGA MD

Original Issue Date

08/22/1990

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

TERRE HAUTE

State

Zip

47803

County

INDIANA

Ever Disciplined

LastModifiedDate

06/30/2023