CATHERINE E LONGOS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

ACTIVE

Business

First Name

CATHERINE

Middle

Last Name

LONGOS

Business Name

CATHERINE E LONGOS

Original Issue Date

10/19/1992

Effective Date

05/06/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/06/2024