STEFANIE GROSS SHANCK - Dentist License in Massachusetts | # 020007115

STEFANIE GROSS SHANCK

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007115

License Status

INACTIVE

Business

N

First Name

STEFANIE GROSS

Last Name

SHANCK

Business Name

STEFANIE GROSS SHANCK

Original Issue Date

02/15/1990

Effective Date

02/15/1990

Expiration Date

09/30/1994

State

MA

Ever Disciplined

N

LastModifiedDate

10/12/2005