LAUREN NICOLE LONGFELLOW Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020015282

License Status

ACTIVE

Business

First Name

LAUREN

Middle

NICOLE

Last Name

LONGFELLOW

Business Name

LAUREN NICOLE LONGFELLOW

Original Issue Date

09/03/2015

Effective Date

09/10/2024

Expiration Date

09/30/2027

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

09/10/2024