JOSEPH PATRICK LONG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001064

License Status

ACTIVE

Business

Title

DDS

First Name

JOSEPH

Middle

PATRICK

Last Name

LONG

Business Name

JOSEPH PATRICK LONG DDS

Original Issue Date

07/08/2020

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA - PERMIT B

Ever Disciplined

LastModifiedDate

05/02/2024