LESLIE EUGENE LONG Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011136

License Status

INACTIVE

Business

First Name

LESLIE EUGENE

Last Name

LONG

Business Name

LESLIE EUGENE LONG

Original Issue Date

08/28/1957

Effective Date

08/28/1957

Expiration Date

09/30/1990

City

JOLIET

State

Zip

60435

County

WILL

Ever Disciplined

LastModifiedDate

10/12/2005