License holder summary

Davis, Natasha Nicole is a Dental - Expanded Function - Restorative I licensed to practice in Missouri. The address on file for Davis, Natasha Nicole is 1420 St Marys Blvd #A , Jefferson City 65109. This licensed professional license is current. The license was granted 06/24/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Davis, Natasha Nicole
Dental - Expanded Function - Restorative I
License number
2013020899  
Date granted
06/24/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Restorative I
Status
Clear
Address
1420 St Marys Blvd #A 
licensingmissouri.org
ID 2031578
LAST UPDATED 2024-04-12 23:11:19 UTC

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