License holder summary

Dougherty, Stefanie Brooke is a Dental Specialist licensed to practice in Missouri. The address on file for Dougherty, Stefanie Brooke is 643 Avondale Dr.  63376. This licensed professional license is current. The license was granted 06/21/2004 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Dougherty, Stefanie Brooke
Dental Specialist
License number
2004016350  
Date granted
06/21/2004
Date expires
11/30/2014
Class
Dental Specialist
Status
Clear
Address
643 Avondale Dr. 
licensingmissouri.org
ID 2012730
LAST UPDATED 2024-03-29 02:52:07 UTC

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