Benjamin Daniel Long Md

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

125071892

Status

Inactive (Cancelled)

First issued

June 26, 2021

Expired

June 25, 2023

License holder

Benjamin Daniel Long

Entity type

Individual

Classifications

• Temporary Medical Permit Physicians & Surgeons

More from the license record

Specialty

Diagnostic Radiology

Current term began

06/26/2021

Other Illinois licenses under this name

• IL
  Benjamin Daniel Long Md

  License 036167191 · Benjamin Daniel Long

  Licensed Physician and Surgeon (Medical Board)
  Active

  O Fallon, IL

  Expires Jul 31, 2029
• IL
  Benjamin Daniel Long Md

  License 33*****54 · Benjamin Daniel Long

  Licensed Physician Controlled Substance (Medical Board)
  Active

  O Fallon, IL

  Expires Jul 31, 2029

Contact