License holder summary

JAIME BASHORE LONG is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for JAIME BASHORE LONG is Wyomissing PA 19610. This medical practitioner license is not current. The license was granted 06/24/2001 and expired on 06/23/2005.

Department of State

Board of Medicine

JAIME BASHORE LONG
Graduate Medical Trainee
License number
MT050219T
Date granted
06/24/2001
Date expires
06/23/2005
Class
Graduate Medical Trainee
Status
Inactive
Address
Wyomissing PA 19610
medicinepa.com
ID 37546864
LAST UPDATED 2024-02-19 03:56:54 UTC

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