SANDRA MICHELLE PEACOCK - Dentist License in New York | # 020010398

SANDRA MICHELLE PEACOCK

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010398

License Status

NOT RENEWED

Business

N

First Name

SANDRA

Middle

MICHELLE

Last Name

PEACOCK

Business Name

SANDRA MICHELLE PEACOCK

Original Issue Date

07/17/2002

Effective Date

07/17/2002

Expiration Date

09/30/2004

State

NY

Ever Disciplined

N

LastModifiedDate

10/17/2005