SANDRA DAWN PICAZIO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003355

License Status

NOT RENEWED

Business

First Name

SANDRA DAWN

Last Name

PICAZIO

Business Name

SANDRA DAWN PICAZIO

Original Issue Date

09/07/1977

Effective Date

09/07/1977

Expiration Date

09/30/1988

City

CLIFTON

State

Zip

07013

County

NEW JERSEY

Ever Disciplined

LastModifiedDate

10/12/2005