WILLIAM SIDNEY LAVINE DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013526

License Status

NOT RENEWED

Business

First Name

WILLIAM SIDNEY

Last Name

LAVINE

Suffix

DMD

Business Name

WILLIAM SIDNEY LAVINE DMD

Original Issue Date

12/19/1968

Effective Date

12/19/1968

City

WEST HARTFORD

State

Zip

06117

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

10/12/2005