TODD EDWARD PIENKOS DDS - Dentist License in Georgia | # 31*****81

TODD EDWARD PIENKOS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

N

First Name

TODD

Middle

EDWARD

Last Name

PIENKOS

Suffix

DDS

Business Name

TODD EDWARD PIENKOS DDS

Original Issue Date

02/05/1999

Effective Date

02/05/1999

Expiration Date

09/30/2006

State

GA

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/08/2006