JESSICA MICHELLE BOOTSIE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****44

License Status

NOT RENEWED

Business

Title

DDS

First Name

JESSICA

Middle

MICHELLE

Last Name

BOOTSIE

Business Name

JESSICA MICHELLE BOOTSIE DDS

Original Issue Date

12/26/2013

Effective Date

10/22/2021

Expiration Date

09/30/2024

City

ST LOUIS

State

Zip

63128

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025