DENISE LEIGH LONG DMD - Dentist License in Illinois | # 019025315

DENISE LEIGH LONG DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025315

License Status

NOT RENEWED

Business

N

First Name

DENISE

Middle

LEIGH

Last Name

LONG

Suffix

DMD

Business Name

DENISE LEIGH LONG DMD

Original Issue Date

07/07/2000

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2006