MELISSA MARIE LONGMAN Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****29

License Status

ACTIVE

Business

First Name

MELISSA

Middle

MARIE

Last Name

LONGMAN

Business Name

MELISSA MARIE LONGMAN

Original Issue Date

12/14/2015

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2026