License holder summary

Forum Dental is a Dental - Deep Sedation/General Anesthesia Site Certificate licensed to practice in Missouri. The address on file for Forum Dental is 1810 East 10th Street , Rolla 65401. This licensed professional license is current. The license was granted 05/15/2008 and expired on 06/01/2018.

Missouri

Division of Professional Registration

Forum Dental
Dental - Deep Sedation/General Anesthesia Site Certificate
License number
2008013005  
Date granted
05/15/2008
Date expires
06/01/2018
Class
Dental - Deep Sedation/General Anesthesia Site Certificate
Status
Clear
Address
1810 East 10th Street 
licensingmissouri.org
ID 2043262
LAST UPDATED 2026-03-16 13:16:24 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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