WALTER L LONGO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036088514

License Status

NOT RENEWED

Business

First Name

WALTER L

Last Name

LONGO

Suffix

Business Name

WALTER L LONGO MD

Original Issue Date

06/09/1994

Effective Date

06/09/1994

Expiration Date

07/31/1996

City

MADISON

State

Zip

53705

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006