SUSAN TERESA STAKIW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025666

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

TERESA

Last Name

STAKIW

Business Name

SUSAN TERESA STAKIW

Original Issue Date

09/12/2001

Effective Date

04/05/2007

Expiration Date

09/30/2009

City

WEBSTER GROVES

State

Zip

63119

County

MISSOURI

Ever Disciplined

LastModifiedDate

08/07/2025