LANCE PARRISH MARTIN DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025240

License Status

ACTIVE

Business

First Name

LANCE

Middle

PARRISH

Last Name

MARTIN

Suffix

DMD

Business Name

LANCE PARRISH MARTIN DMD

Original Issue Date

04/19/2000

Effective Date

09/11/2024

Expiration Date

09/30/2027

City

O FALLON

State

Zip

62269

Ever Disciplined

LastModifiedDate

09/11/2024