Nathan Long Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019017543

Status

Suspended

First issued

March 19, 1981

Expired

September 30, 2012

License holder

Nathan Long Dds

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

11/16/2009

Ever disciplined

Yes

Discipline case

2005006676

Discipline action

Suspension

Discipline reason

for failure to pass JERM examination.

Discipline dates

06/15/2012

Discipline action

Probation

Discipline reason

Provided Substandard Care to Patients and for Billing Irregularities.

Discipline dates

10/05/2007 to 06/15/2012

Other Illinois licenses under this name

• IL
  Nathan Long Dds

  License 31*****73

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Crete, IL

  Expired Sep 30, 2012

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