CARL STASIEWICZ DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013007

License Status

INACTIVE

Business

First Name

CARL

Last Name

STASIEWICZ

Suffix

DDS

Business Name

CARL STASIEWICZ DDS

Original Issue Date

07/29/1966

Effective Date

07/29/1966

Expiration Date

09/30/1990

City

POMONA

State

Zip

91767

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005