KEVIN ATESIAN SCHACK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026096

License Status

NOT RENEWED

Business

First Name

KEVIN

Middle

ATESIAN

Last Name

SCHACK

Suffix

DMD

Business Name

KEVIN ATESIAN SCHACK DMD

Original Issue Date

05/05/2003

Effective Date

05/05/2003

Expiration Date

09/30/2004

City

BROOKLINE

State

Zip

02445

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/17/2005