KENNETH MICHAEL FASIG Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017518

License Status

INACTIVE

Business

First Name

KENNETH MICHAEL

Last Name

FASIG

Business Name

KENNETH MICHAEL FASIG

Original Issue Date

01/20/1981

Effective Date

08/03/2015

Expiration Date

09/30/2018

City

KALAHEO

State

Zip

96741

County

HAWAII

Ever Disciplined

LastModifiedDate

06/07/2018