RAMINTA I MASTIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****04

License Status

NOT RENEWED

Business

First Name

RAMINTA I

Last Name

MASTIS

Business Name

RAMINTA I MASTIS

Original Issue Date

04/15/1988

Effective Date

04/15/1988

Expiration Date

09/30/1998

City

WEST BLOOMFIELD

State

Zip

48322

County

MICHIGAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005