Missouri
Division of Professional Registration
Theriac, Matthew
Dentist
License number
015187
Date granted
07/01/1990
Date expires
11/30/2014
Class
Dentist
Status
Clear
Address
905 Jackson St
licensingmissouri.org
ID 2025393
LAST UPDATED 2026-05-13 14:02:47 UTC
LAST UPDATED 2026-05-13 14:02:47 UTC
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