Shawn Ray Long
ExpiredIllinois license 019025784
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019025784
- Status
- Expired (Not Renewed)
- First issued
- March 15, 2002
- Expired
- September 30, 2004
- License holder
- Shawn Ray Long
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 03/15/2002
Contact
Granger, IN 46530
Indiana County