GWEN S LONG
Licensed Physician Assistant
Illinois 085000397 Inactive
This Illinois license was held by GWEN S LONG. The license is no longer active. It was granted on 02/23/1990 and expired on 03/01/2010
LICENSE DETAILS
- License Number: 085000397
- Category: LICENSED PHYSICIAN ASSISTANT
- Status: Inactive
- Date Granted: 02/23/1990 (over 36 years ago)
- Expiry Date: 03/01/2010 (over 16 years ago)
LOCATIONS
A Address
Madison, WI 53717-1819