ANTHONY JOHN TEGENKAMP DMD - Dentist License in Missouri | # 019024275

ANTHONY JOHN TEGENKAMP DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024275

License Status

INACTIVE

Business

N

First Name

ANTHONY JOHN

Last Name

TEGENKAMP

Suffix

DMD

Business Name

ANTHONY JOHN TEGENKAMP DMD

Original Issue Date

09/25/1996

Effective Date

09/25/1996

Expiration Date

09/30/2000

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005