Philip John Long Dds
InactiveIllinois license 31*****04
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****04
- Status
- Inactive (Cancelled)
- First issued
- January 1, 1998
- Expired
- January 1, 1998
- License holder
- Philip John Long Dds
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Controlled substance schedules
- II III
Other Illinois licenses under this name
-
IL
ExpiredOak Brook, IL
Contact
No address on record.