STEVE J LONGORIA DDS

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****18

NOT RENEWED

N

STEVE J

LONGORIA

DDS

STEVE J LONGORIA DDS

10/04/1991

10/04/1991

09/30/1996

EVANSTON

IL

60201

COOK

II III IV V

N

10/13/2005