License holder summary

Affiliated Oral & Maxillofacial Surgery is a Dental - Deep Sedation/General Anesthesia Site Certificate licensed to practice in Missouri. The address on file for Affiliated Oral & Maxillofacial Surgery is 12166 Old Big Bend #101  63122. This licensed professional license is current. The license was granted 06/25/2009 and expired on 06/01/2014.

Missouri

Division of Professional Registration

Affiliated Oral & Maxillofacial Surgery
Dental - Deep Sedation/General Anesthesia Site Certificate
License number
2009017364  
Date granted
06/25/2009
Date expires
06/01/2014
Class
Dental - Deep Sedation/General Anesthesia Site Certificate
Status
Clear
Address
12166 Old Big Bend #101 
licensingmissouri.org
ID 2043061
LAST UPDATED 2024-05-14 22:38:55 UTC

This website is unaffiliated with the Division of Professional Registration. Please verify all information directly with the relevant official government authority.

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