PHILIP JOHN LONG DDS - Dentist License in Illinois | # 019009994

PHILIP JOHN LONG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019009994

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005