ANITA T DRAKE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017127

License Status

INACTIVE

Business

First Name

ANITA T

Last Name

DRAKE

Suffix

DDS

Business Name

ANITA T DRAKE DDS

Original Issue Date

07/01/1980

Effective Date

07/01/1980

Expiration Date

09/30/1990

City

FAIRPORT

State

Zip

14450

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/12/2005