KATHLEEN M LONGO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069868

License Status

INACTIVE

Business

First Name

KATHLEEN M

Last Name

LONGO

Suffix

Business Name

KATHLEEN M LONGO MD

Original Issue Date

11/16/1984

Effective Date

11/16/1984

Expiration Date

07/31/1990

City

BRIGHTON

State

Zip

48116

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/20/2006