Missouri
Division of Professional Registration
Lewis, Tara LeeAnn
Dental - Expanded Function - Restorative I
License number
2013033659
Date granted
09/09/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Restorative I
Status
Clear
Address
106 S Main
licensingmissouri.org
ID 2032917
LAST UPDATED 2024-05-14 20:50:43 UTC
LAST UPDATED 2024-05-14 20:50:43 UTC
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