KARLA B STORK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020011707

License Status

INACTIVE

Business

First Name

KARLA

Middle

Last Name

STORK

Business Name

KARLA B STORK

Original Issue Date

06/26/2006

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

SAINT PETERS

State

Zip

63376

Ever Disciplined

LastModifiedDate

09/02/2009