MARY KIM KUSSMAN - Dentist License in Missouri | # 020002972

MARY KIM KUSSMAN

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002972

License Status

NOT RENEWED

Business

N

First Name

MARY KIM

Last Name

KUSSMAN

Business Name

MARY KIM KUSSMAN

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

04/01/1982

State

MO

Ever Disciplined

N

LastModifiedDate

10/12/2005