KONSTANTIN BORIS MALTSEN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024747

License Status

NOT RENEWED

Business

First Name

KONSTANTIN

Middle

BORIS

Last Name

MALTSEN

Suffix

DDS

Business Name

KONSTANTIN BORIS MALTSEN DDS

Original Issue Date

07/13/1998

Effective Date

07/13/1998

Expiration Date

09/30/2002

City

BROOKLYN

State

Zip

11223

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/17/2005