LOWELL K LONG DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023474

License Status

INACTIVE

Business

First Name

LOWELL K

Last Name

LONG

Suffix

DDS

Business Name

LOWELL K LONG DDS

Original Issue Date

12/02/1993

Effective Date

08/31/2009

Expiration Date

09/30/2012

City

KEOKUK

State

Zip

52632

County

IOWA

Ever Disciplined

LastModifiedDate

06/06/2012