DOUGLAS PAUL KUMMER DDS - Dentist License in Missouri | # 31*****07

DOUGLAS PAUL KUMMER DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****07

License Status

NOT RENEWED

Business

N

First Name

DOUGLAS

Middle

PAUL

Last Name

KUMMER

Suffix

DDS

Business Name

DOUGLAS PAUL KUMMER DDS

Original Issue Date

07/07/2010

Effective Date

07/07/2010

Expiration Date

09/30/2012

State

MO

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

N

LastModifiedDate

11/14/2012