STANLEY PHILLIP HAZEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014718

License Status

NOT RENEWED

Business

First Name

STANLEY PHILLIP

Last Name

HAZEN

Suffix

DDS

Business Name

STANLEY PHILLIP HAZEN DDS

Original Issue Date

10/25/1973

Effective Date

10/25/1973

Expiration Date

09/30/1988

City

WASHINGTON

State

Zip

20007

County

DISTRICT OF COLUMBIA

Ever Disciplined

LastModifiedDate

10/12/2005