CARLA DAUGHERTY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****51

License Status

NOT RENEWED

Business

Title

DDS

First Name

CARLA

Last Name

DAUGHERTY

Business Name

CARLA DAUGHERTY DDS

Original Issue Date

05/21/2012

Effective Date

01/05/2015

Expiration Date

09/30/2015

City

ST. LOUIS

State

Zip

63136

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024