SAMUEL L LONG Physical Therapist License verification

Business Entity

ACTIVE

License Type

Physical Therapist

Description

LICENSED PHYSICAL THERAPIST

License Number

070026489

License Status

ACTIVE

Business

First Name

SAMUEL

Middle

Last Name

LONG

Business Name

SAMUEL L LONG

Original Issue Date

03/07/2022

Effective Date

08/08/2024

Expiration Date

09/30/2026

City

EAST MOLINE

State

Zip

61244

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

08/08/2024