License holder summary

Northwest Missouri Oral & Maxillofacial Surgery is a Dental - Deep Sedation/General Anesthesia Site Certificate licensed to practice in Missouri. The address on file for Northwest Missouri Oral & Maxillofacial Surgery is 3109 Frederick Avenue  64506. This licensed professional license is current. The license was granted 03/26/2007 and expired on 06/01/2017.

Missouri

Division of Professional Registration

Northwest Missouri Oral & Maxillofacial Surgery
Dental - Deep Sedation/General Anesthesia Site Certificate
License number
2007008464  
Date granted
03/26/2007
Date expires
06/01/2017
Class
Dental - Deep Sedation/General Anesthesia Site Certificate
Status
Clear
Address
3109 Frederick Avenue 
licensingmissouri.org
ID 2043469
LAST UPDATED 2026-06-01 13:36:30 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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