DWIGHT RICHARD DAUGHERTY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014735

License Status

NOT RENEWED

Business

First Name

DWIGHT RICHARD

Last Name

DAUGHERTY

Suffix

DDS

Business Name

DWIGHT RICHARD DAUGHERTY DDS

Original Issue Date

12/17/1973

Effective Date

06/18/2012

Expiration Date

09/30/2015

City

SEYMOUR

State

Zip

65746

County

MISSOURI

Ever Disciplined

LastModifiedDate

02/08/2016