The holder whose full name is LONG, GEORGE W,come from Edison NJ,hold the Physician license(NO.01050815A) which status is Expired Non-Renewable.
| Name | LONG, GEORGE W |
|---|---|
| License Number | 01050815A |
| License Type | Physician |
| License Status | Expired Non-Renewable |
| City | Edison |
| State | NJ |