MARY KIM KUSSMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002972

License Status

NOT RENEWED

Business

First Name

MARY KIM

Last Name

KUSSMAN

Business Name

MARY KIM KUSSMAN

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

04/01/1982

City

FLORISSANT

State

Zip

63033

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005