License holder summary

Midwest Dental-Sullivan is a Dental - Enteral Conscious Sedation Site Certificate licensed to practice in Missouri. The address on file for Midwest Dental-Sullivan is 300 Walmart Dr , Sullivan 63080. This licensed professional license is current. The license was granted 11/16/2012 and expired on 06/01/2017.

Missouri

Division of Professional Registration

Midwest Dental-Sullivan
Dental - Enteral Conscious Sedation Site Certificate
License number
2012039118  
Date granted
11/16/2012
Date expires
06/01/2017
Class
Dental - Enteral Conscious Sedation Site Certificate
Status
Clear
Address
300 Walmart Dr 
licensingmissouri.org
ID 2030703
LAST UPDATED 2024-03-24 22:05:53 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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