JOSEPH PATRICK LONG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

ACTIVE

Business

Title

DDS

First Name

JOSEPH

Middle

PATRICK

Last Name

LONG

Business Name

JOSEPH PATRICK LONG DDS

Original Issue Date

02/20/2020

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024