NUMPOL DEJTIRANUKUL - Dentist License in Missouri | # 019025782

NUMPOL DEJTIRANUKUL

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025782

License Status

INACTIVE

Business

N

First Name

NUMPOL

Last Name

DEJTIRANUKUL

Business Name

NUMPOL DEJTIRANUKUL

Original Issue Date

03/11/2002

Effective Date

03/11/2002

Expiration Date

09/30/2004

State

MO

Ever Disciplined

N

LastModifiedDate

10/17/2005