JAMES H LONG JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****46

License Status

ACTIVE

Business

First Name

JAMES H

Last Name

LONG JR

Suffix

Business Name

JAMES H LONG JR MD

Original Issue Date

09/30/1985

Effective Date

06/30/2023

Expiration Date

07/31/2026

City

PADUCAH

State

Zip

42001

County

ROCK ISLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/30/2023