NICHOLAS MISECKO JR Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010451

License Status

INACTIVE

Business

First Name

NICHOLAS

Last Name

MISECKO JR

Business Name

NICHOLAS MISECKO JR

Original Issue Date

01/08/1954

Effective Date

01/08/1954

Expiration Date

09/30/1990

City

LAFAYETTE

State

Zip

47901

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005