JONATHAN PETER MONTAG DDS - Dentist License in New York | # 019025422

JONATHAN PETER MONTAG DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025422

License Status

INACTIVE

Business

N

First Name

JONATHAN

Middle

PETER

Last Name

MONTAG

Suffix

DDS

Business Name

JONATHAN PETER MONTAG DDS

Original Issue Date

10/03/2000

Effective Date

10/03/2000

Expiration Date

09/30/2002

State

NY

Ever Disciplined

N

LastModifiedDate

10/17/2005