STEVEN WADE LONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

STEVEN WADE

Last Name

LONG

Suffix

DDS

Business Name

STEVEN WADE LONG DDS

Original Issue Date

01/01/1998

Effective Date

08/02/2012

Expiration Date

09/30/2015

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016