License holder summary

Gan, Mary Amanda is a Dental - Expanded Function - Restorative I licensed to practice in Missouri. The address on file for Gan, Mary Amanda is 2221 Guebert Rd  63026. This licensed professional license is current. The license was granted 04/19/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Gan, Mary Amanda
Dental - Expanded Function - Restorative I
License number
2013011844  
Date granted
04/19/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Restorative I
Status
Clear
Address
2221 Guebert Rd 
licensingmissouri.org
ID 2032011
LAST UPDATED 2024-03-17 07:22:34 UTC

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