JAMES P LONG MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067862

License Status

NOT RENEWED

Business

First Name

JAMES P

Last Name

LONG

Suffix

Business Name

JAMES P LONG MD

Original Issue Date

10/26/1983

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

BELOIT

State

Zip

53511

Ever Disciplined

LastModifiedDate

11/06/2008