ANTHONY JOHN TEGENKAMP DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024275

License Status

INACTIVE

Business

First Name

ANTHONY JOHN

Last Name

TEGENKAMP

Suffix

DMD

Business Name

ANTHONY JOHN TEGENKAMP DMD

Original Issue Date

09/25/1996

Effective Date

09/25/1996

Expiration Date

09/30/2000

City

ST LOUIS

State

Zip

63128

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005