GERALD DEWITT LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036025087

License Status

NOT RENEWED

Business

First Name

GERALD DEWITT

Last Name

LONG

Suffix

Business Name

GERALD DEWITT LONG MD

Original Issue Date

08/31/1942

Effective Date

08/31/1942

City

DALLAS

State

Zip

75220

County

TEXAS

Ever Disciplined

LastModifiedDate

09/20/2006