THERESA ADELAIDE LONGO MD
Licensed Physician Controlled Substance
Illinois 336089742 Active
This Illinois license is held by THERESA ADELAIDE LONGO MD. The license is currently active. It was granted on 07/15/2011 and expired on 07/31/2014
LICENSE DETAILS
- License Number: 336089742
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
- Status: Active
- Date Granted: 07/15/2011 (almost 14 years ago)
- Expiry Date: 07/31/2014 (over 10 years ago)
LOCATIONS
A Address
Riverside, CA 925049563
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