ROSA L ONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036059768

License Status

NOT RENEWED

Business

First Name

ROSA L

Last Name

ONG

Suffix

Business Name

ROSA L ONG MD

Original Issue Date

11/09/1979

Effective Date

11/09/1979

Expiration Date

07/31/1987

City

HERSHEY

State

Zip

17033

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/20/2006