JASON MICHAEL LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036117184

License Status

NOT RENEWED

Business

First Name

JASON

Middle

MICHAEL

Last Name

LONG

Suffix

Business Name

JASON MICHAEL LONG MD

Original Issue Date

11/16/2006

Effective Date

04/17/2008

Expiration Date

07/31/2011

City

ANN ARBOR

State

Zip

48103

Ever Disciplined

LastModifiedDate

11/14/2011