AGATA AGNIESZKA DROZDA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001821

License Status

NOT RENEWED

Business

First Name

AGATA

Middle

AGNIESZKA

Last Name

DROZDA

Suffix

DMD

Business Name

AGATA AGNIESZKA DROZDA DMD

Original Issue Date

07/29/2011

Effective Date

08/15/2011

Expiration Date

05/15/2014

City

WEST HARTFORD

State

Zip

06107

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

08/12/2014