GHINWA SAMAD DMD

Business Entity
NOT RENEWED

Dentist

LICENSED DENTIST CONTROLLED SUBSTANCE

31*****39

NOT RENEWED

N

DMD

GHINWA

SAMAD

GHINWA SAMAD DMD

10/03/2014

10/01/2018

01/31/2022

CHESTERFIELD

MO

63017

MISSOURI

II III IV V

N

05/09/2022