JOHN EDWARD MODESTOW DDS - Dentist License in Massachusetts | # 019011140

JOHN EDWARD MODESTOW DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011140

License Status

NOT RENEWED

Business

N

First Name

JOHN EDWARD

Last Name

MODESTOW

Suffix

DDS

Business Name

JOHN EDWARD MODESTOW DDS

Original Issue Date

08/28/1957

Effective Date

08/28/1957

Expiration Date

09/30/1996

State

MA

Ever Disciplined

N

LastModifiedDate

10/12/2005