FREDERIC CUSTER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013959

License Status

INACTIVE

Business

First Name

FREDERIC

Last Name

CUSTER

Suffix

DDS

Business Name

FREDERIC CUSTER DDS

Original Issue Date

12/07/1970

Effective Date

12/07/1970

Expiration Date

09/30/1992

City

FREDERICKTOWN

State

Zip

63645

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005