JEFFREY P LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036076924

License Status

NOT RENEWED

Business

First Name

JEFFREY P

Last Name

LONG

Suffix

Business Name

JEFFREY P LONG MD

Original Issue Date

04/19/1988

Effective Date

04/19/1988

Expiration Date

07/31/1996

City

TACOMA

State

Zip

98422

County

WASHINGTON

Ever Disciplined

LastModifiedDate

10/23/2006