License holder summary

STACEY LEE LONGO is a Medical Physician And Surgeon licensed to practice in Pennsylvania. The address on file for STACEY LEE LONGO is Holmdel NJ 07733. This medical practitioner license is not current. The license was granted 04/16/2008 and expired on 12/31/2010.

Department of State

Board of Medicine

STACEY LEE LONGO
Medical Physician And Surgeon
License number
MD434144
Date granted
04/16/2008
Date expires
12/31/2010
Class
Medical Physician And Surgeon
Status
Inactive
Address
Holmdel NJ 07733
medicinepa.com
ID 37639962
LAST UPDATED 2024-06-27 01:55:42 UTC

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