JACK SIOUKAS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012300

License Status

INACTIVE

Business

First Name

JACK

Last Name

SIOUKAS

Suffix

DDS

Business Name

JACK SIOUKAS DDS

Original Issue Date

07/29/1963

Effective Date

07/29/1963

Expiration Date

09/30/2002

City

SACRAMENTO

State

Zip

95864

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005