Wisconsin
Department of Safety and Professional Services
Long, Edward R
Dentistry
License number
5766-15
Date granted
09/02/2004
Date expires
09/30/2015
Class
Dentistry
Status
wisconsinlicensing.org
ID 12624684
LAST UPDATED 2024-03-30 06:59:30 UTC
LAST UPDATED 2024-03-30 06:59:30 UTC
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