ALISON KASAYO STAWICKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****85

License Status

NOT RENEWED

Business

Title

DDS

First Name

ALISON

Middle

KASAYO

Last Name

STAWICKI

Business Name

ALISON KASAYO STAWICKI DDS

Original Issue Date

04/24/2015

Effective Date

04/24/2015

Expiration Date

09/30/2015

City

TRAVERSE CITY

State

Zip

49684

County

MICHIGAN

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/08/2016