RAYMOND RUDOLF NIKODEM DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011074

License Status

NOT RENEWED

Business

First Name

RAYMOND RUDOLF

Last Name

NIKODEM

Suffix

DDS

Business Name

RAYMOND RUDOLF NIKODEM DDS

Original Issue Date

08/21/1957

Effective Date

08/21/1957

Expiration Date

09/30/1988

City

ST. LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005