License holder summary

Evan Gene Long is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Evan Gene Long is 7863 BROADWAY, MERRILLVILLE IN 46410. This licensed professional license is not current. The license was granted 08/31/1986 and expired on 03/01/1998.

Indiana

Professional Licensing Agency

Evan Gene Long
Controlled Substance Registration - Dentist
License number
12007488B
Date granted
08/31/1986
Date expires
03/01/1998
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
7863 BROADWAY, MERRILLVILLE IN 46410
indianalicensing.org
ID 5110856
LAST UPDATED 2024-02-12 17:56:32 UTC

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