Michael Walter Long
ExpiredCalifornia license 28749
License
- Licensed by
- Dental Board of California
- License number
- 28749
- Status
- Expired (Delinquent)
- First issued
- May 7, 1980
- Expired
- June 30, 2026
- License holder
- Michael Walter Long
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
78461 Highway 111
La Quinta, CA 92253-2076
La Quinta, CA 92253-2076
Riverside County