CHRISTOPHER N MODJESKI DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022343

License Status

INACTIVE

Business

First Name

CHRISTOPHER N

Last Name

MODJESKI

Suffix

DDS

Business Name

CHRISTOPHER N MODJESKI DDS

Original Issue Date

12/11/1990

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

ATLANTIC BEACH

State

Zip

32233

County

LA SALLE

Ever Disciplined

LastModifiedDate

07/24/2006