TIMOTHY DENNIS LARSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028546

License Status

INACTIVE

Business

Title

DDS

First Name

TIMOTHY

Middle

DENNIS

Last Name

LARSON

Business Name

TIMOTHY DENNIS LARSON DDS

Original Issue Date

01/11/2011

Effective Date

07/06/2015

Expiration Date

09/30/2018

City

WELDON SPRING

State

Zip

63304

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/07/2018