PHILIP JOHN LONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009994

License Status

NOT RENEWED

Business

First Name

PHILIP JOHN

Last Name

LONG

Suffix

DDS

Business Name

PHILIP JOHN LONG DDS

Original Issue Date

09/04/1951

Effective Date

09/04/1951

City

OAK BROOK

State

Zip

60523

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/12/2005