MARK WINSTON BRAITHWAITE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024487

License Status

NOT RENEWED

Business

First Name

MARK

Middle

WINSTON

Last Name

BRAITHWAITE

Suffix

DDS

Business Name

MARK WINSTON BRAITHWAITE DDS

Original Issue Date

07/22/1997

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BROOKLYN

State

Zip

11225

County

NEW YORK

Ever Disciplined

LastModifiedDate

01/08/2010