JOSEPH PATRICK LONG DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001998

License Status

EXPIRED

Business

Title

DDS

First Name

JOSEPH

Middle

PATRICK

Last Name

LONG

Business Name

JOSEPH PATRICK LONG DDS

Original Issue Date

06/21/2016

Effective Date

06/06/2017

Expiration Date

06/30/2020

City

URBANA

State

Zip

61801

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

11/19/2020