JEFFERY D LONG
Licensed Physician Controlled Substance (Schedules Ii Iii Iin Iiin Iv V )
Illinois 336038970 Not Renewed
This Illinois license was held by JEFFERY D LONG. The license is no longer active. It was granted on 10/12/1993 and expired on 07/31/1996
LICENSE DETAILS
- License Number: 336038970
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE (Schedules II III IIN IIIN IV V )
- Status: Not Renewed
- Date Granted: 10/12/1993 (over 31 years ago)
- Expiry Date: 07/31/1996 (almost 29 years ago)
LOCATIONS
A Address
MANTENO, IL 60941