MARSHALL A LONGNECKER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036083912

License Status

INACTIVE

Business

First Name

MARSHALL A

Last Name

LONGNECKER

Suffix

Business Name

MARSHALL A LONGNECKER MD

Original Issue Date

01/16/1992

Effective Date

01/16/1992

Expiration Date

07/31/1993

City

GREEN BAY

State

Zip

54302

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006