EVELYN TEAGUE SAMUEL DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029334

License Status

NOT RENEWED

Business

Title

DMD

First Name

EVELYN

Middle

TEAGUE

Last Name

SAMUEL

Business Name

EVELYN TEAGUE SAMUEL DMD

Original Issue Date

03/27/2013

Effective Date

03/27/2013

Expiration Date

09/30/2015

City

SAINT LOUIS

State

Zip

63103

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/28/2019