License holder summary

Long, Jerry W is a Optometrist licensed to practice in Missouri. The address on file for Long, Jerry W is 213 N Broadway , Poplar Bluff 63901. This licensed professional license is current. The license was granted 06/08/1973 and expired on 10/31/2014.

Missouri

Division of Professional Registration

Long, Jerry W
Optometrist
License number
T02229  
Date granted
06/08/1973
Date expires
10/31/2014
Class
Optometrist
Status
Clear
Address
213 N Broadway 
licensingmissouri.org
ID 1195613
LAST UPDATED 2024-03-10 23:49:09 UTC

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