License Directory

Keith Monroe Long

Active

California license 366

License

Licensed by
Dental Board of California
License number
366
Status
Active (Current)
First issued
February 6, 2024
Expires
February 29, 2028
License holder
Keith Monroe Long
Entity type
Individual

Classifications

  • Moderate Sedation Permit Dental

More from the license record

License type code
4417
Related
Long Keith (40662)

Other California licenses under this name

  • CA
    Keith Monroe Long
    License 40662
    Dental License
    Active
    Lakeport, CA
    Expires Feb 29, 2028

Contact

160 Mackie Rd
Lakeport, CA 95453-6005
Lake County