License holder summary

Gerald Joseph Longa is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Gerald Joseph Longa is 145 Hamilton Drive, Terre Haute IN 47803. This licensed professional license is current. The license was granted 12/28/1985 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Gerald Joseph Longa
Controlled Substance Registration - Physician
License number
01034781B
Date granted
12/28/1985
Date expires
10/31/2015
Class
Controlled Substance Registration - Physician
Status
Active
Address
145 Hamilton Drive, Terre Haute IN 47803
indianalicensing.org
ID 5925284
LAST UPDATED 2024-02-27 07:14:08 UTC

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