License holder summary

Terri Marie Long is a Medical Board - 50.Physician Assistant licensed to practice in Ohio. The address on file for Terri Marie Long is 4100 W Third ST, Dayton, OH 45428. This licensed professional license is current. The license was granted 08/12/2004 and expired on 01/31/2016.

Ohio

Board of Licensing

Terri Marie Long
Medical Board - 50.Physician Assistant
License number
50.002163
Date granted
08/12/2004
Date expires
01/31/2016
Class
Medical Board - 50.Physician Assistant
Status
Active
Address
4100 W Third ST, Dayton, OH 45428
ohiolicensing.org
ID 28599285
LAST UPDATED 2024-02-28 02:20:26 UTC

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