BORIS J SIDOW Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021557

License Status

NOT RENEWED

Business

First Name

BORIS J

Last Name

SIDOW

Business Name

BORIS J SIDOW

Original Issue Date

06/03/1989

Effective Date

09/04/2012

Expiration Date

09/30/2015

City

AUGUSTA

State

Zip

30909

County

GEORGIA

Ever Disciplined

LastModifiedDate

02/08/2016