CLARA MUTALE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025901

License Status

NOT RENEWED

Business

First Name

CLARA

Last Name

MUTALE

Business Name

CLARA MUTALE

Original Issue Date

07/03/2002

Effective Date

07/03/2002

Expiration Date

09/30/2004

City

BOSTON

State

Zip

02215

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/17/2005