License holder summary

Lais, Randolph LaVern is a Dental - Parenteral Conscious Sedation Permit licensed to practice in Missouri. The address on file for Lais, Randolph LaVern is 5508 Pinnacle Point Dr  72758. This licensed professional license is current. The license was granted 09/25/2012 and expired on 06/01/2017.

Missouri

Division of Professional Registration

Lais, Randolph LaVern
Dental - Parenteral Conscious Sedation Permit
License number
2012033845  
Date granted
09/25/2012
Date expires
06/01/2017
Class
Dental - Parenteral Conscious Sedation Permit
Status
Clear
Address
5508 Pinnacle Point Dr 
licensingmissouri.org
ID 2042443
LAST UPDATED 2024-03-17 17:25:59 UTC

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