SUZANNE DEGNEN DEPENALOZA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034775

License Status

NOT RENEWED

Business

Title

DMD

First Name

SUZANNE

Middle

DEGNEN

Last Name

DEPENALOZA

Business Name

SUZANNE DEGNEN DEPENALOZA DMD

Original Issue Date

01/24/2024

Effective Date

01/24/2024

Expiration Date

09/30/2024

City

SAINT LOUIS

State

Zip

63127

Ever Disciplined

LastModifiedDate

02/04/2025