ADAM TIMOTHY BIRK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029831

License Status

NOT RENEWED

Business

First Name

ADAM

Middle

TIMOTHY

Last Name

BIRK

Business Name

ADAM TIMOTHY BIRK

Original Issue Date

06/17/2014

Effective Date

06/17/2014

Expiration Date

09/30/2015

City

SAINT LOUIS

State

Zip

63123

Ever Disciplined

LastModifiedDate

02/08/2016