STEVEN D BAILEN - Dentist License in Massachusetts | # 019021116

STEVEN D BAILEN

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021116

License Status

INACTIVE

Business

N

First Name

STEVEN D

Last Name

BAILEN

Business Name

STEVEN D BAILEN

Original Issue Date

07/29/1988

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

MA

Ever Disciplined

N

LastModifiedDate

07/24/2006