PHILIP M LONG
Controlled Substance Registration - Physician
Indiana 01036787B Expired
This Indiana license was held by PHILIP M LONG. The license is no longer active. It was granted on 07/22/1988 and expired on 06/30/1991
LICENSE DETAILS
- License Number: 01036787B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 07/22/1988 (almost 37 years ago)
- Expiry Date: 06/30/1991 (almost 34 years ago)
LOCATIONS
A Address
MEMORIAL HOSPITAL, FITH AND PINE STREET, MICHIGAN CITY IN 46360