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
LAST UPDATED 2024-04-07 02:29:46 UTC
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