MICHAEL GENE CORREALE DMD - Dentist License in Missouri | # 019015354

MICHAEL GENE CORREALE DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015354

License Status

INACTIVE

Business

N

First Name

MICHAEL GENE

Last Name

CORREALE

Suffix

DMD

Business Name

MICHAEL GENE CORREALE DMD

Original Issue Date

10/07/1975

Effective Date

10/07/1975

Expiration Date

09/30/2002

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005