RONALD RAYMOND MAINHURST - Dentist License in Missouri | # 31*****04

RONALD RAYMOND MAINHURST

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

N

First Name

RONALD RAYMOND

Last Name

MAINHURST

Business Name

RONALD RAYMOND MAINHURST

Original Issue Date

09/15/1982

Effective Date

09/15/1982

Expiration Date

09/30/2002

State

MO

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/17/2005