CARLY BOUDREAUX DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019035656

License Status

ACTIVE

Business

Title

DMD

First Name

CARLY

Last Name

BOUDREAUX

Business Name

CARLY BOUDREAUX DMD

Original Issue Date

12/27/2024

Effective Date

12/27/2024

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63108

Ever Disciplined

LastModifiedDate

02/21/2025