BRUCE DAVID LONG MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036063615

License Status

INACTIVE

Business

First Name

BRUCE DAVID

Last Name

LONG

Suffix

Business Name

BRUCE DAVID LONG MD

Original Issue Date

12/03/1981

Effective Date

12/03/1981

Expiration Date

07/31/1990

City

GATES MILLS

State

Zip

44040

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006