DERRICK O FRYE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024111

License Status

NOT RENEWED

Business

First Name

DERRICK O

Last Name

FRYE

Business Name

DERRICK O FRYE

Original Issue Date

03/05/1996

Effective Date

03/05/1996

Expiration Date

09/30/1996

City

ST LOUIS

State

Zip

63138

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005