SHELLY LYNN SARICH DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

CANCELLED

Business

First Name

SHELLY

Middle

LYNN

Last Name

SARICH

Suffix

DDS

Business Name

SHELLY LYNN SARICH DDS

Original Issue Date

07/22/1999

Effective Date

07/22/1999

Expiration Date

09/30/2002

City

CHESTERFIELD

State

Zip

63017

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005