License holder summary

Petersen, Tina Louise is a Dental - Expanded Function - Restorative I licensed to practice in Missouri. The address on file for Petersen, Tina Louise is 2809 NE Weston Cr , Blue Springs 64014. This licensed professional license is current. The license was granted 07/01/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Petersen, Tina Louise
Dental - Expanded Function - Restorative I
License number
2013022694  
Date granted
07/01/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Restorative I
Status
Clear
Address
2809 NE Weston Cr 
licensingmissouri.org
ID 2033645
LAST UPDATED 2024-05-12 11:23:08 UTC

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