License holder summary

Fennell, Tracy Lynn is a Dental - Expanded Function - Fixed Prosthodontics licensed to practice in Missouri. The address on file for Fennell, Tracy Lynn is 39 Ravine Dr  63304. This licensed professional license is current. The license was granted 09/24/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Fennell, Tracy Lynn
Dental - Expanded Function - Fixed Prosthodontics
License number
2013035677  
Date granted
09/24/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Fixed Prosthodontics
Status
Clear
Address
39 Ravine Dr 
licensingmissouri.org
ID 2039353
LAST UPDATED 2024-04-01 02:04:13 UTC

This website is unaffiliated with the Division of Professional Registration. Please verify all information directly with the relevant official government authority.

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