KRISTEN MARY CUMMINGS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****63

License Status

ACTIVE

Business

First Name

KRISTEN

Middle

MARY

Last Name

CUMMINGS

Business Name

KRISTEN MARY CUMMINGS

Original Issue Date

08/05/2015

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

SHILOH

State

Zip

62269

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/14/2024