TIMOTHY JOHN LONGO DDS - Dentist License in Illinois | # 019031249

TIMOTHY JOHN LONGO DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031249

License Status

NOT RENEWED

Business

N

Title

DDS

First Name

TIMOTHY

Middle

JOHN

Last Name

LONGO

Business Name

TIMOTHY JOHN LONGO DDS

Original Issue Date

06/29/2017

Effective Date

06/07/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022