ELIZABETH SKAF MICHELIZZI - Dentist License in New York | # 31*****91

ELIZABETH SKAF MICHELIZZI

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****91

License Status

NOT RENEWED

Business

N

First Name

ELIZABETH

Middle

SKAF

Last Name

MICHELIZZI

Business Name

ELIZABETH SKAF MICHELIZZI

Original Issue Date

08/25/2010

Effective Date

08/25/2010

Expiration Date

09/30/2012

State

NY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

N

LastModifiedDate

11/14/2012