GORDON H LONG Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016001190

License Status

INACTIVE

Business

First Name

GORDON H

Last Name

LONG

Business Name

GORDON H LONG

Original Issue Date

07/13/1933

Effective Date

07/13/1933

Expiration Date

01/31/1987

City

BATTLE CREEK

State

Zip

49015

County

MICHIGAN

Ever Disciplined

LastModifiedDate

09/25/2006