License holder summary

GREGORY LEE LONG is a Medical Residency Permit licensed to practice in Indiana. The address on file for GREGORY LEE LONG is SOUTH BEND IN 46617. This licensed professional license is not current. The license was granted 07/01/1990 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

GREGORY LEE LONG
Medical Residency Permit
License number
11005253A
Date granted
07/01/1990
Date expires
06/30/1991
Class
Medical Residency Permit
Status
Expired
Address
SOUTH BEND IN 46617
indianalicensing.org
ID 5996190
LAST UPDATED 2024-04-25 05:25:18 UTC

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