TODD EDWARD PIENKOS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

NOT RENEWED

Business

First Name

TODD

Middle

EDWARD

Last Name

PIENKOS

Suffix

DDS

Business Name

TODD EDWARD PIENKOS DDS

Original Issue Date

02/05/1999

Effective Date

02/05/1999

Expiration Date

09/30/2006

City

GROVETOWN

State

Zip

30813

County

GEORGIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006