REBECCA LYNN LONG DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****31

License Status

ACTIVE

Business

First Name

REBECCA

Middle

LYNN

Last Name

LONG DDS

Business Name

REBECCA LYNN LONG DDS

Original Issue Date

07/20/2009

Effective Date

05/24/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/24/2024