MARA K GANIM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030162

License Status

ACTIVE

Business

Title

DMD

First Name

MARA

Middle

Last Name

GANIM

Business Name

MARA K GANIM DMD

Original Issue Date

06/08/2015

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

09/03/2024