NICK STAFFORD OWINGS DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015144

License Status

INACTIVE

Business

First Name

NICK STAFFORD

Last Name

OWINGS

Suffix

DDS

Business Name

NICK STAFFORD OWINGS DDS

Original Issue Date

07/10/1975

Effective Date

07/10/1975

Expiration Date

09/30/1990

City

KALAMAZOO

State

Zip

49007

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005