License holder summary

Max Richard Long is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for Max Richard Long is 2505 NORTH BEECH LANE, MARION IN 46952. This licensed professional license is not current. The license was granted 05/31/1986 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

Max Richard Long
Controlled Substance Registration - Physician
License number
01013599B
Date granted
05/31/1986
Date expires
06/30/2003
Class
Controlled Substance Registration - Physician
Status
Expired
Address
2505 NORTH BEECH LANE, MARION IN 46952
indianalicensing.org
ID 5888424
LAST UPDATED 2024-04-15 10:06:09 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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