ROY JOSEPH MODUGNO JR , DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013886

License Status

NOT RENEWED

Business

First Name

ROY JOSEPH

Last Name

MODUGNO JR ,

Suffix

DDS

Business Name

ROY JOSEPH MODUGNO JR , DDS

Original Issue Date

07/07/1970

Effective Date

07/07/1970

City

EMERSON

State

Zip

07630

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/12/2005