STEVEN WADE LONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015884

License Status

NOT RENEWED

Business

First Name

STEVEN WADE

Last Name

LONG

Suffix

DDS

Business Name

STEVEN WADE LONG DDS

Original Issue Date

06/09/1977

Effective Date

08/02/2012

Expiration Date

09/30/2015

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

02/08/2016