License holder summary

Jefferson City Oral and Maxillofacial Surgery, LLC is a Dental - Deep Sedation/General Anesthesia Site Certificate licensed to practice in Missouri. The address on file for Jefferson City Oral and Maxillofacial Surgery, LLC is 1400 Southwest Blvd , Jefferson City 65109. This licensed professional license is current. The license was granted 07/15/2005 and expired on 06/01/2015.

Missouri

Division of Professional Registration

Jefferson City Oral and Maxillofacial Surgery, LLC
Dental - Deep Sedation/General Anesthesia Site Certificate
License number
2005022071  
Date granted
07/15/2005
Date expires
06/01/2015
Class
Dental - Deep Sedation/General Anesthesia Site Certificate
Status
Clear
Address
1400 Southwest Blvd 
licensingmissouri.org
ID 2043307
LAST UPDATED 2024-02-15 10:17:45 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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