DAVID D LONG DDS - Dentist License in Illinois | # 019012746

DAVID D LONG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012746

License Status

NOT RENEWED

Business

N

First Name

DAVID D

Last Name

LONG

Suffix

DDS

Business Name

DAVID D LONG DDS

Original Issue Date

07/15/1965

Effective Date

07/15/1965

Expiration Date

09/30/1994

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005