SUTHANYA SRISURO DDS - Dentist License in Missouri | # 019014770

SUTHANYA SRISURO DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014770

License Status

INACTIVE

Business

N

First Name

SUTHANYA

Last Name

SRISURO

Suffix

DDS

Business Name

SUTHANYA SRISURO DDS

Original Issue Date

12/17/1973

Effective Date

06/22/2015

Expiration Date

09/30/2018

State

MO

Ever Disciplined

N

LastModifiedDate

06/07/2018