STACY A LONG Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006038

License Status

INACTIVE

Business

First Name

STACY A

Last Name

LONG

Business Name

STACY A LONG

Original Issue Date

01/23/1986

Effective Date

01/23/1986

Expiration Date

09/30/1994

City

HELOTES

State

Zip

78023

County

TEXAS

Ever Disciplined

LastModifiedDate

10/12/2005