License holder summary

DOUGLAS W LONG is a Physician Assistant licensed to practice in Indiana. The address on file for DOUGLAS W LONG is Mishawaka IN 46545. This licensed professional license is not current. The license was granted 06/15/2001 and expired on 06/30/2002.

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 2024-02-27 11:56:39 UTC

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