DANIEL M AUTRY Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026953

License Status

INACTIVE

Business

First Name

DANIEL

Middle

Last Name

AUTRY

Business Name

DANIEL M AUTRY

Original Issue Date

03/03/2006

Effective Date

08/29/2018

Expiration Date

09/30/2021

City

HOUSE SPRINGS

State

Zip

63051

County

MISSOURI

Ever Disciplined

LastModifiedDate

08/29/2018