ELLIOT L MUNALULA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021887

License Status

NOT RENEWED

Business

First Name

ELLIOT L

Last Name

MUNALULA

Suffix

DDS

Business Name

ELLIOT L MUNALULA DDS

Original Issue Date

12/19/1989

Effective Date

12/19/1989

Expiration Date

09/30/1994

City

ST LOUIS

State

Zip

63121

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005