Tanya L. Long

Controlled Substance Registration - Dentist

Indiana  12011588B   Active

This Indiana license is held by Tanya L. Long. The license is currently active. It was granted on 03/21/2011 and expired on 03/01/2016

LICENSE DETAILS

  • License Number: 12011588B
  • Category: CSR-Dentist
  • Status: Active
  • Date Granted: 03/21/2011 (about 14 years ago)
  • Expiry Date: 03/01/2016 (about 9 years ago)

LOCATIONS

A Address

Real Choice Dental Implant Center of Kentuckiana, 802 East 10th Street, Jeffersonville IN 47130