Indiana
Professional Licensing Agency
DOUGLAS W LONG
Physician Assistant
License number
10000512A
Date granted
06/15/2001
Date expires
06/30/2002
Class
Physician Assistant
Status
Expired
Address
Mishawaka IN 46545
indianalicensing.org
ID 8391118
LAST UPDATED 2024-05-19 10:12:27 UTC
LAST UPDATED 2024-05-19 10:12:27 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.