NATHAN MICHAEL ANTOINE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032454

License Status

NOT RENEWED

Business

First Name

NATHAN

Middle

MICHAEL

Last Name

ANTOINE

Business Name

NATHAN MICHAEL ANTOINE

Original Issue Date

12/23/2019

Effective Date

12/23/2019

Expiration Date

01/31/2022

City

SAINT LOUIS

State

Zip

63132

Ever Disciplined

LastModifiedDate

07/30/2025