MICHAEL GENE CORREALE DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015354

License Status

INACTIVE

Business

First Name

MICHAEL GENE

Last Name

CORREALE

Suffix

DMD

Business Name

MICHAEL GENE CORREALE DMD

Original Issue Date

10/07/1975

Effective Date

10/07/1975

Expiration Date

09/30/2002

City

FARMINGTON

State

Zip

63640

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005