JACQLYN E LONG OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

LICENSED OPTOMETRIST

License Number

046008207

License Status

ACTIVE

Business

First Name

JACQLYN

Middle

Last Name

LONG

Suffix

Business Name

JACQLYN E LONG OD

Original Issue Date

10/21/1989

Effective Date

03/16/2026

Expiration Date

03/31/2028

City

SAINT LOUIS

State

Zip

63129

Ever Disciplined

LastModifiedDate

03/16/2026