JAN STEVEN DRAKE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013589

License Status

NOT RENEWED

Business

First Name

JAN STEVEN

Last Name

DRAKE

Suffix

DDS

Business Name

JAN STEVEN DRAKE DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

City

NEW YORK

State

Zip

10025

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/12/2005