Idaho
Division of Occupational and Professional Licenses
Dr. EDWIN Thomas LONG
Board Of Medicine
License number
M-11803
Date granted
10/26/2012
Date expires
06/30/2018
Class
Board Of Medicine
Status
Renewed
Address
994 STEWART LAKE ROAD KENT OH 44240
idaholicensing.com
ID 48357319
LAST UPDATED 2024-02-03 11:34:38 UTC
LAST UPDATED 2024-02-03 11:34:38 UTC
This website is unaffiliated with the Division of Occupational and Professional Licenses. Please verify all information directly with the relevant official government authority.