TIMOTHY DENNIS LARSON DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****93

License Status

NOT RENEWED

Business

Title

DDS

First Name

TIMOTHY

Middle

DENNIS

Last Name

LARSON

Business Name

TIMOTHY DENNIS LARSON DDS

Original Issue Date

01/11/2011

Effective Date

07/06/2015

Expiration Date

09/30/2018

City

WELDON SPRING

State

Zip

63304

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018