MICHAEL STEPHEN BORZELLO DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014527

License Status

INACTIVE

Business

First Name

MICHAEL STEPHEN

Last Name

BORZELLO

Suffix

DDS

Business Name

MICHAEL STEPHEN BORZELLO DDS

Original Issue Date

07/11/1973

Effective Date

06/08/2015

Expiration Date

09/30/2018

City

EUREKA

State

Zip

61530

County

WOODFORD

Ever Disciplined

LastModifiedDate

06/07/2018