License holder summary

Talva T Grundstrom D.M.D. is a Dental - Enteral Conscious Sedation Site Certificate licensed to practice in Missouri. The address on file for Talva T Grundstrom D.M.D. is 2022 William St. , Jefferson City 65109. This licensed professional license is current. The license was granted 09/06/2006 and expired on 06/01/2016.

Missouri

Division of Professional Registration

Talva T Grundstrom D.M.D.
Dental - Enteral Conscious Sedation Site Certificate
License number
2006027803  
Date granted
09/06/2006
Date expires
06/01/2016
Class
Dental - Enteral Conscious Sedation Site Certificate
Status
Clear
Address
2022 William St. 
licensingmissouri.org
ID 2030844
LAST UPDATED 2024-04-01 22:35:18 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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