DANIEL M AUTRY - Dentist License in Missouri | # 137000692

DANIEL M AUTRY

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000692

License Status

NOT RENEWED

Business

N

First Name

DANIEL

Middle

M

Last Name

AUTRY

Business Name

DANIEL M AUTRY

Original Issue Date

11/22/2006

Effective Date

01/03/2019

Expiration Date

01/31/2022

State

MO

Ever Disciplined

N

LastModifiedDate

05/09/2022