GERALD THOMAS BASKO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008754

License Status

NOT RENEWED

Business

First Name

GERALD THOMAS

Last Name

BASKO

Suffix

DDS

Business Name

GERALD THOMAS BASKO DDS

Original Issue Date

01/30/1945

Effective Date

01/30/1945

Expiration Date

09/30/1984

City

SAN DIEGO

State

Zip

92104

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005