License holder summary

GREGORY WILLIAM LONG is a Dentistry - Anesthesia Permit - Restricted I licensed to practice in Pennsylvania. The address on file for GREGORY WILLIAM LONG is ZELIENOPLE PA 16063. This licensed professional license is not current. The license was granted 04/29/1996 and expired on 03/31/1997.

Pennsylvania

Department of State

GREGORY WILLIAM LONG
Dentistry - Anesthesia Permit - Restricted I
License number
DP029696A
Date granted
04/29/1996
Date expires
03/31/1997
Class
Dentistry - Anesthesia Permit - Restricted I
Status
Expired
Address
ZELIENOPLE PA 16063
palicensing.org
ID 16534011
LAST UPDATED 2026-03-12 10:44:18 UTC

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