CATHERINE E LONGOS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000392

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

Last Name

LONGOS

Business Name

CATHERINE E LONGOS

Original Issue Date

07/19/1989

Effective Date

07/19/1989

Expiration Date

06/30/1990

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005