RYAN WILKENS LUCHTEFELD DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****74

License Status

NOT RENEWED

Business

First Name

RYAN

Middle

WILKENS

Last Name

LUCHTEFELD

Suffix

DMD

Business Name

RYAN WILKENS LUCHTEFELD DMD

Original Issue Date

07/06/2011

Effective Date

06/21/2012

Expiration Date

09/30/2015

City

SAINT LOUIS

State

Zip

63103

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016