DWIGHT RICHARD DAUGHERTY DDS - Dentist License in Missouri | # 019014735

DWIGHT RICHARD DAUGHERTY DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014735

License Status

NOT RENEWED

Business

N

First Name

DWIGHT RICHARD

Last Name

DAUGHERTY

Suffix

DDS

Business Name

DWIGHT RICHARD DAUGHERTY DDS

Original Issue Date

12/17/1973

Effective Date

06/18/2012

Expiration Date

09/30/2015

State

MO

Ever Disciplined

N

LastModifiedDate

02/08/2016