IGOR J SKALSKY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017368

License Status

NOT RENEWED

Business

First Name

IGOR

Middle

Last Name

SKALSKY

Suffix

DDS

Business Name

IGOR J SKALSKY DDS

Original Issue Date

07/28/1980

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

BRUNSWICK

State

Zip

44212

Ever Disciplined

LastModifiedDate

11/04/2009

Case Number

2008002940

Action

Refuse To Renew

Discipline Start Date

06/10/2009

Discipline Reason

due to a sister state discipline.