MARK L BAILEN Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020986

License Status

INACTIVE

Business

First Name

MARK L

Last Name

BAILEN

Business Name

MARK L BAILEN

Original Issue Date

12/15/1987

Effective Date

12/15/1987

Expiration Date

09/30/1992

City

MARSTON MILLS

State

Zip

02648

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/12/2005