DANIEL M AUTRY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000692

License Status

NOT RENEWED

Business

First Name

DANIEL

Middle

Last Name

AUTRY

Business Name

DANIEL M AUTRY

Original Issue Date

11/22/2006

Effective Date

01/03/2019

Expiration Date

01/31/2022

City

HOUSE SPRINGS

State

Zip

63051

County

MISSOURI

Ever Disciplined

LastModifiedDate

05/09/2022