CARLY BOUDREAUX DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021003425

License Status

ACTIVE

Business

Title

DMD

First Name

CARLY

Last Name

BOUDREAUX

Business Name

CARLY BOUDREAUX DMD

Original Issue Date

04/11/2025

Effective Date

04/11/2025

Expiration Date

09/30/2027

City

SAINT LOUIS

State

Zip

63108

Specialty/Qualifier

PEDIATRIC DENTISTRY

Ever Disciplined

LastModifiedDate

02/27/2025