License holder summary

C Rex Witherspoon Surgery Center is a Dental - Deep Sedation/General Anesthesia Site Certificate licensed to practice in Missouri. The address on file for C Rex Witherspoon Surgery Center is 1103 E Montclair , Springfield 65765. This licensed professional license is current. The license was granted 06/20/2005 and expired on 06/01/2015.

Missouri

Division of Professional Registration

C Rex Witherspoon Surgery Center
Dental - Deep Sedation/General Anesthesia Site Certificate
License number
2005018864  
Date granted
06/20/2005
Date expires
06/01/2015
Class
Dental - Deep Sedation/General Anesthesia Site Certificate
Status
Clear
Address
1103 E Montclair 
licensingmissouri.org
ID 2043112
LAST UPDATED 2024-04-21 02:27:22 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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