JOHN EDWARD MODESTOW DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011140

License Status

NOT RENEWED

Business

First Name

JOHN EDWARD

Last Name

MODESTOW

Suffix

DDS

Business Name

JOHN EDWARD MODESTOW DDS

Original Issue Date

08/28/1957

Effective Date

08/28/1957

Expiration Date

09/30/1996

City

FLORENCE

State

Zip

01060

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/12/2005