Missouri
Division of Professional Registration
Long, Alicia Jo
Dental - Expanded Function - Restorative I
License number
2013011360
Date granted
04/15/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Restorative I
Status
Clear
Address
745 Pear Tree Circle
licensingmissouri.org
ID 2032966
LAST UPDATED 2024-03-26 04:19:34 UTC
LAST UPDATED 2024-03-26 04:19:34 UTC
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