STEVEN B RAPHAEL DDS - Dentist License in Missouri | # 021002414

STEVEN B RAPHAEL DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002414

License Status

NOT RENEWED

Business

N

First Name

STEVEN

Middle

B

Last Name

RAPHAEL

Suffix

DDS

Business Name

STEVEN B RAPHAEL DDS

Original Issue Date

08/08/2011

Effective Date

08/08/2011

Expiration Date

09/30/2012

State

MO

Specialty/Qualifier

ENDODONTICS

Ever Disciplined

N

LastModifiedDate

11/14/2012