JOSEPH MICHAEL LONG

Controlled Substance Registration - Physician

Indiana  01033377B   Active

This Indiana license is held by JOSEPH MICHAEL LONG. The license is currently active. It was granted on 06/26/1984 and expired on 10/31/2015

LICENSE DETAILS

  • License Number: 01033377B
  • Category: CSR-Physician
  • Status: Active
  • Date Granted: 06/26/1984 (almost 41 years ago)
  • Expiry Date: 10/31/2015 (over 9 years ago)

LOCATIONS

A Address

MEMORIAL HOSPITAL, 615 NORTH MICHIGAN STREET, SOUTH BEND IN 46601