Indiana
Professional Licensing Agency
Kuumba Long
Physician
License number
01066913A
Date granted
06/25/2009
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Lafayette IN 47905
indianalicensing.org
ID 6068803
LAST UPDATED 2024-02-27 13:08:35 UTC
LAST UPDATED 2024-02-27 13:08:35 UTC
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