License holder summary

Robert William Long is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Robert William Long is 2705 South Berkley Road, Suite 2B, Kokomo IN 46902-8007. This licensed professional license is current. The license was granted 11/05/1999 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Robert William Long
Controlled Substance Registration - Dentist
License number
12010170B
Date granted
11/05/1999
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
2705 South Berkley Road, Suite 2B, Kokomo IN 46902-8007
indianalicensing.org
ID 5106863
LAST UPDATED 2024-03-05 19:33:21 UTC

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