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 2024-04-25 07:02:58 UTC
LAST UPDATED 2024-04-25 07:02:58 UTC
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