Indiana
Professional Licensing Agency
Angela Long
Physician
License number
01067939A
Date granted
03/16/2010
Date expires
10/31/2015
Class
Physician
Status
Active
Address
Plainfield IL 60586
indianalicensing.org
ID 6092975
LAST UPDATED 2024-02-09 19:17:04 UTC
LAST UPDATED 2024-02-09 19:17:04 UTC
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