PETER V BRASK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011597

License Status

NOT RENEWED

Business

First Name

PETER V

Last Name

BRASK

Business Name

PETER V BRASK

Original Issue Date

09/09/1959

Effective Date

09/09/1959

Expiration Date

04/01/1982

City

WORCESTER

State

Zip

01609

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/12/2005