KRISTIN L LONG MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036155294

License Status

ACTIVE

Business

Title

First Name

KRISTIN

Middle

Last Name

LONG

Business Name

KRISTIN L LONG MD

Original Issue Date

01/14/2021

Effective Date

04/06/2023

Expiration Date

07/31/2026

City

MADISON

State

Zip

53715

County

WISCONSIN

Ever Disciplined

LastModifiedDate

04/06/2023