JONATHAN PETER MONTAG DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025422

License Status

INACTIVE

Business

First Name

JONATHAN

Middle

PETER

Last Name

MONTAG

Suffix

DDS

Business Name

JONATHAN PETER MONTAG DDS

Original Issue Date

10/03/2000

Effective Date

10/03/2000

Expiration Date

09/30/2002

City

WYNANTSKILL

State

Zip

12198

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/17/2005