KEVIN JOHN CASSIDY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016180

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

JOHN

Last Name

CASSIDY

Suffix

DDS

Business Name

KEVIN JOHN CASSIDY DDS

Original Issue Date

11/23/1977

Effective Date

11/23/1977

Expiration Date

09/30/1992

City

SOUTH LAKE TAHOE

State

Zip

96150

Ever Disciplined

LastModifiedDate

10/12/2005

Case Number

1983000201

Action

Probation

Discipline Start Date

07/21/1985

Discipline End Date

07/21/1986