Missouri
Division of Professional Registration
VanGennip, Autumn Rose
Dental Hygienist
License number
2011017963
Date granted
06/16/2011
Date expires
11/30/2014
Class
Dental Hygienist
Status
Clear
Address
Rt 2 Box 2644
licensingmissouri.org
ID 2010959
LAST UPDATED 2024-04-29 09:20:28 UTC
LAST UPDATED 2024-04-29 09:20:28 UTC
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