THERESA ADELAIDE LONGO MD
Licensed Physician Controlled Substance (Schedules )
Illinois 336089742 Not Renewed
This Illinois license was held by THERESA ADELAIDE LONGO MD. The license is no longer active. It was granted on 07/15/2011 and expired on 07/31/2014
LICENSE DETAILS
- License Number: 336089742
- Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE (Schedules )
- Status: Not Renewed
- Date Granted: 07/15/2011 (almost 14 years ago)
- Expiry Date: 07/31/2014 (over 10 years ago)
LOCATIONS
A Address
Riverside, CA 925049563