Idaho
Division of Occupational and Professional Licenses
Dr. STEPHEN RALPH LONGO
Board Of Medicine
License number
M-13011
Date granted
07/29/2015
Date expires
06/30/2017
Class
Board Of Medicine
Status
Licensed
Address
4TH & WALNUT STREETS LEBANON PA 17042
idaholicensing.com
ID 48351641
LAST UPDATED 2024-03-30 05:49:58 UTC
LAST UPDATED 2024-03-30 05:49:58 UTC
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