NUMPOL DEJTIRANUKUL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025782

License Status

INACTIVE

Business

First Name

NUMPOL

Last Name

DEJTIRANUKUL

Business Name

NUMPOL DEJTIRANUKUL

Original Issue Date

03/11/2002

Effective Date

03/11/2002

Expiration Date

09/30/2004

City

ST CHARLES

State

Zip

63304

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005