CARLA R LEWIS-LONGLEY Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021272

License Status

ACTIVE

Business

First Name

CARLA R

Last Name

LEWIS-LONGLEY

Business Name

CARLA R LEWIS-LONGLEY

Original Issue Date

08/24/1988

Effective Date

09/04/2024

Expiration Date

09/30/2027

City

EAST ST LOUIS

State

Zip

62205

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/04/2024