CHRISTINE MARIE MODUGNO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001378

License Status

NOT RENEWED

Business

First Name

CHRISTINE MARIE

Last Name

MODUGNO

Business Name

CHRISTINE MARIE MODUGNO

Original Issue Date

08/18/1970

Effective Date

08/18/1970

City

EMERSON

State

Zip

07630

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/12/2005