PRISCILLA ELAINE LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036105492

License Status

NOT RENEWED

Business

First Name

PRISCILLA

Middle

ELAINE

Last Name

LONG

Suffix

Business Name

PRISCILLA ELAINE LONG MD

Original Issue Date

08/27/2001

Effective Date

09/17/2020

Expiration Date

07/31/2023

City

HANNIBAL

State

Zip

63401

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/30/2023