License holder summary

DOUGLAS GREGORY LONG is a Board Of Medicine licensed to practice in Idaho. The address on file for DOUGLAS GREGORY LONG is PO Box 589 Petersburg AK 99833. This licensed professional license is not current. The license was granted 10/06/1997 and expired on 06/30/2006.

Idaho

Division of Occupational and Professional Licenses

DOUGLAS GREGORY LONG
Board Of Medicine
License number
M-7363
Date granted
10/06/1997
Date expires
06/30/2006
Class
Board Of Medicine
Status
Canceled
Address
PO Box 589 Petersburg AK 99833
idaholicensing.com
ID 48357318
LAST UPDATED 2024-04-29 20:17:59 UTC

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