JAN STEVEN DRAKE DDS - Dentist License in New York | # 019013589

JAN STEVEN DRAKE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013589

License Status

NOT RENEWED

Business

N

First Name

JAN STEVEN

Last Name

DRAKE

Suffix

DDS

Business Name

JAN STEVEN DRAKE DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

State

NY

Ever Disciplined

N

LastModifiedDate

10/12/2005