License holder summary

NATHAN WAYNE LONG is a Board Of Medicine licensed to practice in Idaho. The address on file for NATHAN WAYNE LONG is 7252 HIGHWAY 70 S APT 1302 NASHVILLE TN 37221. This licensed professional license is not current. The license was granted 08/26/2005 and expired on 06/30/2007.

Idaho

Division of Occupational and Professional Licenses

NATHAN WAYNE LONG
Board Of Medicine
License number
M-9380
Date granted
08/26/2005
Date expires
06/30/2007
Class
Board Of Medicine
Status
Canceled
Address
7252 HIGHWAY 70 S APT 1302 NASHVILLE TN 37221
idaholicensing.com
ID 48357331
LAST UPDATED 2026-03-15 23:23:44 UTC

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