ALLISON JEANNE LONG DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033721

License Status

ACTIVE

Business

Title

DMD

First Name

ALLISON

Middle

JEANNE

Last Name

LONG

Business Name

ALLISON JEANNE LONG DMD

Original Issue Date

06/08/2022

Effective Date

08/05/2024

Expiration Date

09/30/2027

City

CHATHAM

State

Zip

62629

Ever Disciplined

LastModifiedDate

08/05/2024