PARKER JOSEPH OLIVER ROUSTIO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034489

License Status

ACTIVE

Business

First Name

PARKER

Middle

JOSEPH OLIVER

Last Name

ROUSTIO

Business Name

PARKER JOSEPH OLIVER ROUSTIO

Original Issue Date

07/03/2023

Effective Date

05/08/2024

Expiration Date

09/30/2027

City

O FALLON

State

Zip

62269

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

05/08/2024