License Directory

Keith Monroe Long

Active

California license 40662

License

Licensed by
Dental Board of California
License number
40662
Status
Active (Current)
First issued
November 6, 1992
Expires
February 29, 2028
License holder
Keith Monroe Long
Entity type
Individual

Classifications

More from the license record

License type code
4401

Other California licenses under this name

  • CA
    Keith Monroe Long
    License 366
    Moderate Sedation Permit
    Active
    Lakeport, CA
    Expires Feb 29, 2028

Contact

160 Mackie Rd
Lakeport, CA 95453-6005
Lake County