STEPHANIE RENEE LONG DMD - Dentist License in Illinois | # 019027997

STEPHANIE RENEE LONG DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027997

License Status

ACTIVE

Business

N

Title

DMD

First Name

STEPHANIE

Middle

RENEE

Last Name

LONG

Business Name

STEPHANIE RENEE LONG DMD

Original Issue Date

06/09/2009

Effective Date

10/01/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

10/16/2024