MICHAEL BRUCE KOIDIN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014893

License Status

INACTIVE

Business

First Name

MICHAEL BRUCE

Last Name

KOIDIN

Suffix

DDS

Business Name

MICHAEL BRUCE KOIDIN DDS

Original Issue Date

07/17/1974

Effective Date

07/17/1974

Expiration Date

09/30/2004

City

LYNN

State

Zip

01902

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/17/2005