STEPHANIE RENEE LONG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027997

License Status

ACTIVE

Business

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

City

HIGHLAND

State

Zip

62249

County

MADISON

Ever Disciplined

LastModifiedDate

10/16/2024