THOMAS LONG BELANGER JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036131503

License Status

NOT RENEWED

Business

Title

First Name

THOMAS

Middle

LONG

Last Name

BELANGER

Suffix

Business Name

THOMAS LONG BELANGER JR MD

Original Issue Date

09/25/2012

Effective Date

09/25/2012

Expiration Date

07/31/2014

City

KIRKWOOD

State

Zip

63122

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/17/2014