GREGORY LEE LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036167866

License Status

ACTIVE

Business

Title

First Name

GREGORY

Middle

LEE

Last Name

LONG

Business Name

GREGORY LEE LONG MD

Original Issue Date

12/05/2023

Effective Date

12/05/2023

Expiration Date

07/31/2026

City

WORTHINGTON

State

Zip

43085

County

FRANKLIN

Ever Disciplined

LastModifiedDate

12/05/2023