License holder summary

NICOLE ANN LONG is a Osteopathic Medicine & Surgery - Osteopathic Educational Limited licensed to practice in Michigan. This medical licensee license is not current. The license was granted 07/01/2007 and expired on 06/30/2011.

Department of Licensing and Regulatory Affairs

Board of Medicine

NICOLE ANN LONG
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
License number
5101017337
Date granted
07/01/2007
Date expires
06/30/2011
Class
Osteopathic Medicine & Surgery - Osteopathic Educational Limited
Status
Lapsed
Address
michiganmedical.net
ID 39121673
LAST UPDATED 2024-01-01 11:02:08 UTC

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