License holder summary

Long, Jerry M is a Dental Specialist licensed to practice in Missouri. The address on file for Long, Jerry M is 1642 E Catalpa Street , Springfield 65804. This licensed professional license is current. The license was granted 06/28/1960 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Long, Jerry M
Dental Specialist
License number
009917  
Date granted
06/28/1960
Date expires
11/30/2014
Class
Dental Specialist
Status
Clear
Address
1642 E Catalpa Street 
licensingmissouri.org
ID 2013412
LAST UPDATED 2024-04-20 18:09:02 UTC

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