GERNON MATTHEW LONGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036110294

License Status

NOT RENEWED

Business

First Name

GERNON

Middle

MATTHEW

Last Name

LONGO

Suffix

Business Name

GERNON MATTHEW LONGO MD

Original Issue Date

10/14/2003

Effective Date

04/28/2014

Expiration Date

07/31/2017

City

OMAHA

State

Zip

68198

County

NEBRASKA

Ever Disciplined

LastModifiedDate

11/01/2017