KEVIN D MALTZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022020

License Status

NOT RENEWED

Business

First Name

KEVIN D

Last Name

MALTZ

Suffix

DDS

Business Name

KEVIN D MALTZ DDS

Original Issue Date

06/12/1990

Effective Date

06/12/1990

Expiration Date

09/30/1992

City

WEST HARTFORD

State

Zip

06107

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

10/12/2005