Edward R Long

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019025972

Status

Expired (Not Renewed)

First issued

September 18, 2002

Expired

September 30, 2006

License holder

Edward R Long

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

09/30/2004

Other Illinois licenses under this name

• IL
  Edward R Long

  License 31*****27

  Licensed Dentist Controlled Substance (Dental)
  Expired

  East Alton, IL

  Expired Sep 30, 2006

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