TIMOTHY JOHN LONGO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031249

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60614

County

WISCONSIN

Ever Disciplined

LastModifiedDate

05/09/2022