SASHA B STASKO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026630

License Status

NOT RENEWED

Business

First Name

SASHA

Middle

Last Name

STASKO

Suffix

DDS

Business Name

SASHA B STASKO DDS

Original Issue Date

12/10/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

CHICAGO

State

Zip

60610

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

11/08/2006