License holder summary

Deatherage, Ted A is a Dentist licensed to practice in Missouri. The address on file for Deatherage, Ted A is 1616 Gibson Ave , West Plains 65775. This licensed professional license is current. The license was granted 09/09/1994 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Deatherage, Ted A
Dentist
License number
015659  
Date granted
09/09/1994
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
1616 Gibson Ave 
licensingmissouri.org
ID 2017083
LAST UPDATED 2024-04-07 02:29:46 UTC

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