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MICHAEL BRUCE LONGLEY

License Number: ME94125

Data As Of 5/19/2024

Profession
Medical Doctor
License
ME94125
License Status
CLEAR/Active
License Expiration Date
1/31/2026
License Original Issue Date
08/19/2005
Address of Record
USACS
4535 Dressler Rd NW
CANTON, OH 44718
Controlled Substance Prescriber (for the Treatment of Chronic Non-malignant Pain)
No
Discipline on File
No
Public Complaint
No

No secondary locations found.


Name Relationship Profession License Effective Date
CHRISTIANO, DANIELLE MARIE Supervisor Medical Doctor 98327 03/04/2016
DEGROAT, JONATHAN THOMAS Supervising Prescribing Practitioner Medical Doctor 114356 03/04/2016
DESAI, AJAY Supervising Prescribing Practitioner Osteopathic Physician 12568 03/04/2016
KOONKITTI, PARICHART CANDY Supervising Prescribing Practitioner Medical Doctor 125284 03/04/2016
NESSELROADE, RYAN DAVID Supervising Prescribing Practitioner Medical Doctor 106189 03/04/2016
OSBORNE, AARON RYAN Supervising Prescribing Practitioner Medical Doctor 108215 03/04/2016

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Name Relationship Profession License Effective Date
BABBS, GARRETT ADAM Prescribing Physician Assistant Physician Assistant 9108798 3/1/2017
BACH, MADELINE Prescribing Physician Assistant Physician Assistant 9109682 6/28/2017
CORINTH, TASHA Prescribing Physician Assistant Physician Assistant 9110450 1/5/2018
DAILEY, CHRISTY A Prescribing Physician Assistant Physician Assistant 9103849 11/21/2016
HALLOWAY, HILLARY SLOANE Prescribing Physician Assistant Physician Assistant 9102500 12/31/2015
KNOTEN, LAUREN Prescribing Physician Assistant Physician Assistant 9110039 1/3/2017
MAYNARD, TIMOTHY RONALD Prescribing Physician Assistant Physician Assistant 9108404 10/18/2017
MILLER, NATALIE Prescribing Physician Assistant Physician Assistant 9110339 5/12/2017
SUSSMAN, MICHAEL LORNE Prescribing Physician Assistant Physician Assistant 9107280 2/8/2016

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Name Relationship Profession License Effective Date

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No Continuing Education Hours Received from Approved Providers As Of 5/19/2024



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