License holder summary

Fernandez, Mark Alan is a Dental - Enteral Conscious Sedation Permit licensed to practice in Missouri. The address on file for Fernandez, Mark Alan is 3555 Sunset Office Dr  63127. This licensed professional license is current. The license was granted 05/04/2006 and expired on 06/01/2016.

Missouri

Division of Professional Registration

Fernandez, Mark Alan
Dental - Enteral Conscious Sedation Permit
License number
2006012739  
Date granted
05/04/2006
Date expires
06/01/2016
Class
Dental - Enteral Conscious Sedation Permit
Status
Clear
Address
3555 Sunset Office Dr 
licensingmissouri.org
ID 2029387
LAST UPDATED 2024-03-11 07:32:34 UTC

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