SHELLY LYNN SARICH DDS - Dentist License in Missouri | # 31*****00

SHELLY LYNN SARICH DDS

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

CANCELLED

Business

N

First Name

SHELLY

Middle

LYNN

Last Name

SARICH

Suffix

DDS

Business Name

SHELLY LYNN SARICH DDS

Original Issue Date

07/22/1999

Effective Date

07/22/1999

Expiration Date

09/30/2002

State

MO

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/17/2005