JOSEPH PATRICK LONG DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****41

License Status

NOT RENEWED

Business

Title

DDS

First Name

JOSEPH

Middle

PATRICK

Last Name

LONG

Business Name

JOSEPH PATRICK LONG DDS

Original Issue Date

01/12/2023

Effective Date

01/12/2023

Expiration Date

09/30/2024

City

DECATUR

State

Zip

62526

County

MACON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025