MARK JOSPEH WIESEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023652

License Status

NOT RENEWED

Business

First Name

MARK JOSPEH

Last Name

WIESEN

Suffix

DDS

Business Name

MARK JOSPEH WIESEN DDS

Original Issue Date

08/09/1994

Effective Date

08/09/1994

Expiration Date

09/30/1996

City

ST LOUIS

State

Zip

63129

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005