PERDITA J FISHER DMD - Dentist License in Missouri | # 31*****58

PERDITA J FISHER DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****58

License Status

NOT RENEWED

Business

N

First Name

PERDITA

Middle

J

Last Name

FISHER

Suffix

DMD

Business Name

PERDITA J FISHER DMD

Original Issue Date

03/14/1989

Effective Date

03/14/1989

Expiration Date

09/30/1998

State

MO

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

10/13/2005