RICHARD DAVIDSON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017089

License Status

NOT RENEWED

Business

First Name

RICHARD

Last Name

DAVIDSON

Suffix

DMD

Business Name

RICHARD DAVIDSON DMD

Original Issue Date

04/03/1980

Effective Date

09/30/2009

Expiration Date

09/30/2012

City

CLAYTON

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/14/2012