STEPHANIE M MODISETT DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024537

License Status

INACTIVE

Business

First Name

STEPHANIE M

Last Name

MODISETT

Suffix

DDS

Business Name

STEPHANIE M MODISETT DDS

Original Issue Date

08/25/1997

Effective Date

08/25/1997

Expiration Date

09/30/1998

City

SAVANNAH

State

Zip

31406

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/12/2005