Jack W De Long
ActiveMichigan license 4301029955
License
- Licensed by
- Michigan Department of Licensing and Regulatory Affairs
- License number
- 4301029955
- Status
- Active
- First issued
- January 1, 1971
- Expires
- January 1, 2030
- License holder
- Jack W De Long
- Entity type
- Individual
Classifications
- Medical Doctor (Medicine) Physicians & Surgeons