VINCENT BASHA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019034497

License Status

NOT RENEWED

Business

First Name

VINCENT

Last Name

BASHA

Business Name

VINCENT BASHA

Original Issue Date

07/07/2023

Effective Date

07/07/2023

Expiration Date

09/30/2024

City

MEDFORD

State

Zip

02155

Ever Disciplined

LastModifiedDate

02/04/2025