RICHARD BLUSTEIN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018244

License Status

INACTIVE

Business

First Name

RICHARD

Last Name

BLUSTEIN

Business Name

RICHARD BLUSTEIN

Original Issue Date

07/22/1982

Effective Date

06/09/2009

Expiration Date

09/30/2012

City

CLAYTON

State

Zip

63105

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/06/2012