TAWANA KIESHAWN LEE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026415

License Status

NOT RENEWED

Business

First Name

TAWANA

Middle

KIESHAWN

Last Name

LEE

Suffix

DDS

Business Name

TAWANA KIESHAWN LEE DDS

Original Issue Date

06/08/2004

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ST LOUIS

State

Zip

63146

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/08/2010