TERESA ANN LONGO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010830

License Status

NOT RENEWED

Business

First Name

TERESA

Middle

ANN

Last Name

LONGO

Business Name

TERESA ANN LONGO

Original Issue Date

10/15/2003

Effective Date

10/15/2003

Expiration Date

09/30/2004

City

ARLINGTON HEIGHTS

State

Zip

60004

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005