MERLE E LONG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019004534

License Status

NOT RENEWED

Business

First Name

MERLE E

Last Name

LONG

Business Name

MERLE E LONG

Original Issue Date

08/01/1925

Effective Date

08/01/1925

City

OAK PARK

State

Zip

60301

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005