ANDRE JAMES LONGO - Dentist License in Illinois | # 019010722

ANDRE JAMES LONGO

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010722

License Status

NOT RENEWED

Business

N

First Name

ANDRE JAMES

Last Name

LONGO

Business Name

ANDRE JAMES LONGO

Original Issue Date

08/11/1955

Effective Date

08/11/1955

Expiration Date

09/30/1998

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005