BASILIOS C COSTARAS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027553

License Status

NOT RENEWED

Business

First Name

BASILIOS

Middle

Last Name

COSTARAS

Suffix

DDS

Business Name

BASILIOS C COSTARAS DDS

Original Issue Date

01/07/2008

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

LAKEWOOD

State

Zip

44107

County

OHIO

Ever Disciplined

LastModifiedDate

10/31/2018