NATHAN LONG DDS - Dentist License in Illinois | # 019017543

NATHAN LONG DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017543

License Status

NOT RENEWED

Business

N

First Name

NATHAN

Last Name

LONG

Suffix

DDS

Business Name

NATHAN LONG DDS

Original Issue Date

03/19/1981

Effective Date

11/16/2009

Expiration Date

09/30/2012

State

IL

Ever Disciplined

Y

LastModifiedDate

11/14/2012

Case Number

2005006676

Action

Probation

Discipline Start Date

10/05/2007

Discipline End Date

06/15/2012

Discipline Reason

provided substandard care to patients and for billing irregularities.