License holder summary

St. Louis South Oral & Maxillofacial Surgery is a Dental - Deep Sedation/General Anesthesia Site Certificate licensed to practice in Missouri. The address on file for St. Louis South Oral & Maxillofacial Surgery is 9911 Kennerly Rd  63128. This licensed professional license is current. The license was granted 05/31/2005 and expired on 06/01/2015.

Missouri

Division of Professional Registration

St. Louis South Oral & Maxillofacial Surgery
Dental - Deep Sedation/General Anesthesia Site Certificate
License number
2005015630  
Date granted
05/31/2005
Date expires
06/01/2015
Class
Dental - Deep Sedation/General Anesthesia Site Certificate
Status
Clear
Address
9911 Kennerly Rd 
licensingmissouri.org
ID 2043665
LAST UPDATED 2024-05-24 13:22:42 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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