Jennafer Marie Long
InactiveIllinois license 020010894
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020010894
- Status
- Inactive
- First issued
- April 20, 2004
- Expired
- September 30, 2006
- License holder
- Jennafer Marie Long
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/30/2004
Contact
Scottsdale, AZ 85255
Cook County