JACQUELINE LONG MD
Licensed Physician Controlled Substance
Illinois 336037208 Not Renewed
This Illinois license was held by JACQUELINE LONG MD. The license is no longer active. It was granted on 09/12/1986 and expired on 07/31/1990
LICENSE DETAILS
- License Number: 336037208
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 09/12/1986 (over 38 years ago)
- Expiry Date: 07/31/1990 (over 34 years ago)
LOCATIONS
A Address
RIVERSIDE, CA 92501