TERESA ANN LONGO - Dentist License in Illinois | # 020010830

TERESA ANN LONGO

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010830

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

10/17/2005