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MICHAEL BRUCE LONGLEY

License Number: ME94125

Data As Of 12/22/2024

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
BARNES, RICHARD R JR Prescribing Physician Assistant Medical Doctor 69285 6/27/2024
COLLOM, NEIL EDWARD Prescribing Physician Assistant Physician Assistant 9111249 11/15/2024
CORINTH, TASHA Prescribing Physician Assistant Physician Assistant 9110450 1/5/2018
DAILEY, CHRISTY A Prescribing Physician Assistant Physician Assistant 9103849 11/21/2016
EVANGELISTI, MINDY Prescribing Physician Assistant Physician Assistant 9118901 7/9/2024
FREEMAN, KELLIE CHRISTINE Prescribing Physician Assistant Physician Assistant 9110742 8/1/2024
HALLOWAY, HILLARY SLOANE Prescribing Physician Assistant Physician Assistant 9102500 12/31/2015
KHURRAM, SEHRISH Prescribing Physician Assistant Physician Assistant 9118360 8/1/2024
KNOTEN, LAUREN Prescribing Physician Assistant Physician Assistant 9110039 1/3/2017
LAMBIE, NATALIE DAWN Prescribing Physician Assistant Osteopathic Physician 11732 8/1/2024
MAYNARD, TIMOTHY RONALD Prescribing Physician Assistant Physician Assistant 9108404 10/18/2017
MILLER, NATALIE Prescribing Physician Assistant Physician Assistant 9110339 5/12/2017
SCHLEIF, ROBERT DAVID Prescribing Physician Assistant Physician Assistant 9112559 12/1/2023
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 12/22/2024



* To find out more about Approved Providers, or ask a provider why the course you took is not yet listed, please visit our Continuing Education Providers page.


** Personal Development is limited to no more than 3 hours per renewal cycle. Any personal development hours in excess of this 3 hour maximum cannot be used for renewal and have been subtracted from the total available for renewal.


Please do not fax proof of Continuing Education hours to the Board Office until you have received your renewal notice in the mail.


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