License holder summary

LONGLEY B JACK is a Medicine (Physician, Including M Ds & D Os) licensed to practice in New York. The address on file for LONGLEY B JACK is MADISON WI. This doctor license is not current. The license was granted 07/01/1980.

New York

Office of the Professions

LONGLEY B JACK
Medicine (Physician, Including M Ds & D Os)
License number
142553
Date granted
07/01/1980
Class
Medicine (Physician, Including M Ds & D Os)
Status
Inactive
Address
MADISON WI
nymedicine.org
ID 30206989
LAST UPDATED 2024-03-03 09:55:22 UTC

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