License holder summary

Deatherage, Samuel E is a Dentist licensed to practice in Missouri. The address on file for Deatherage, Samuel E is 10210 Arch Street Place  35758. This licensed professional license is current. The license was granted 09/18/1996 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Deatherage, Samuel E
Dentist
License number
015859  
Date granted
09/18/1996
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
10210 Arch Street Place 
licensingmissouri.org
ID 2017078
LAST UPDATED 2024-02-14 01:50:16 UTC

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