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
LAST UPDATED 2024-03-17 17:25:59 UTC
This website is unaffiliated with the Division of Professional Registration. Please verify all information directly with the relevant official government authority.