License holder summary

Massie, Autumn Genevieve is a Dental - Expanded Function - Removable Prosthodontics licensed to practice in Missouri. The address on file for Massie, Autumn Genevieve is 911 Lillian  62234. This licensed professional license is current. The license was granted 06/17/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Massie, Autumn Genevieve
Dental - Expanded Function - Removable Prosthodontics
License number
2013019166  
Date granted
06/17/2013
Date expires
02/28/2018
Class
Dental - Expanded Function - Removable Prosthodontics
Status
Clear
Address
911 Lillian 
licensingmissouri.org
ID 2036559
LAST UPDATED 2024-02-27 15:10:12 UTC

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