GREGORY J MIKSZTA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022815

License Status

INACTIVE

Business

First Name

GREGORY J

Last Name

MIKSZTA

Suffix

DDS

Business Name

GREGORY J MIKSZTA DDS

Original Issue Date

03/18/1992

Effective Date

03/18/1992

Expiration Date

09/30/2002

City

PHOENIX

State

Zip

85048

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005