TIMOTHY DENNIS LARSON DDS - Dentist License in Missouri | # 019028546

TIMOTHY DENNIS LARSON DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028546

License Status

INACTIVE

Business

N

Title

DDS

First Name

TIMOTHY

Middle

DENNIS

Last Name

LARSON

Business Name

TIMOTHY DENNIS LARSON DDS

Original Issue Date

01/11/2011

Effective Date

07/06/2015

Expiration Date

09/30/2018

State

MO

Ever Disciplined

N

LastModifiedDate

06/07/2018