CHRISTINA MARIE LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036125317

License Status

ACTIVE

Business

Title

First Name

CHRISTINA

Middle

MARIE

Last Name

LONG

Business Name

CHRISTINA MARIE LONG MD

Original Issue Date

03/26/2010

Effective Date

04/17/2023

Expiration Date

07/31/2026

City

SOUTH JORDAN

State

Zip

84009

Ever Disciplined

LastModifiedDate

06/07/2024