License holder summary

DALE EVONNE LONG is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for DALE EVONNE LONG is 181 Whitescarver Rd, Lewisburg KY 42256. This licensed professional license is not current. The license was granted 03/25/1993 and expired on 06/30/2005.

Indiana

Professional Licensing Agency

DALE EVONNE LONG
Controlled Substance Registration-Osteopathic Physician
License number
02001408B
Date granted
03/25/1993
Date expires
06/30/2005
Class
Controlled Substance Registration-Osteopathic Physician
Status
Expired
Address
181 Whitescarver Rd, Lewisburg KY 42256
indianalicensing.org
ID 5807534
LAST UPDATED 2024-03-15 14:37:40 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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