BENJAMIN L BOLASNY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019004694

License Status

NOT RENEWED

Business

First Name

BENJAMIN L

Last Name

BOLASNY

Suffix

DDS

Business Name

BENJAMIN L BOLASNY DDS

Original Issue Date

11/19/1925

Effective Date

11/19/1925

City

HOLLYWOOD

State

Zip

33021

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005