ANGELINA VALERIE ANISIMOVA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026205

License Status

NOT RENEWED

Business

First Name

ANGELINA

Middle

VALERIE

Last Name

ANISIMOVA

Suffix

DDS

Business Name

ANGELINA VALERIE ANISIMOVA DDS

Original Issue Date

07/10/2003

Effective Date

07/10/2003

Expiration Date

09/30/2004

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2005