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
LAST UPDATED 2024-02-28 02:20:26 UTC