RYAN WILKENS LUCHTEFELD DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028742

License Status

INACTIVE

Business

First Name

RYAN

Middle

WILKENS

Last Name

LUCHTEFELD

Suffix

DMD

Business Name

RYAN WILKENS LUCHTEFELD DMD

Original Issue Date

07/06/2011

Effective Date

06/21/2012

Expiration Date

09/30/2015

City

SAINT LOUIS

State

Zip

63103

County

MISSOURI

Ever Disciplined

LastModifiedDate

06/08/2015