KRISTEN MARY CUMMINGS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002117

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

MARY

Last Name

CUMMINGS

Business Name

KRISTEN MARY CUMMINGS

Original Issue Date

09/21/2004

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

SHILOH

State

Zip

62269

County

MISSOURI

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

08/14/2024