ROBERT C LONGMAN Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000415

License Status

NOT RENEWED

Business

First Name

ROBERT C

Last Name

LONGMAN

Business Name

ROBERT C LONGMAN

Original Issue Date

08/22/1990

Effective Date

08/22/1990

Expiration Date

03/01/1992

City

CHICAGO

State

Zip

60614

County

COOK

Ever Disciplined

LastModifiedDate

09/26/2006