License holder summary

Southwell, Stacy is a Expanded Function - Orthodontics licensed to practice in Missouri. The address on file for Southwell, Stacy is 1609 Chapel Hill , Columbia 65203. This licensed professional license is current. The license was granted 06/07/2013 and expired on 02/28/2018.

Missouri

Division of Professional Registration

Southwell, Stacy
Expanded Function - Orthodontics
License number
2013017407  
Date granted
06/07/2013
Date expires
02/28/2018
Class
Expanded Function - Orthodontics
Status
Clear
Address
1609 Chapel Hill 
licensingmissouri.org
ID 2042206
LAST UPDATED 2026-06-07 23:52:18 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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