Katherine Mary Long
ExpiredIllinois license 38*****60
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 38*****60
- Status
- Expired (Inoperative)
- First issued
- April 27, 2021
- Expired
- March 1, 2024
- License holder
- Katherine Mary Long
- Entity type
- Individual
Classifications
- Physician Assistant Controlled Substance Physicians & Surgeons
More from the license record
- Current term began
- 02/23/2022
Other Illinois licenses under this name
-
IL
ExpiredUrbana, ILExpired Mar 1, 2026
Contact
Urbana, IL 61801
Champaign County