Gwen S Long
InactiveIllinois license 085000397
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085000397
- Status
- Inactive
- First issued
- February 23, 1990
- Expired
- March 1, 2010
- License holder
- Gwen S Long
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 05/06/2008
Contact
Madison, WI 53717