SAMUEL A PASSO Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020471

License Status

INACTIVE

Business

First Name

SAMUEL

Middle

Last Name

PASSO

Business Name

SAMUEL A PASSO

Original Issue Date

02/06/1987

Effective Date

08/08/2012

Expiration Date

09/30/2015

City

INDIANAPOLIS

State

Zip

46260

County

INDIANA

Ever Disciplined

LastModifiedDate

06/08/2015