CECIL SAMUEL ASH DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000659

License Status

CANCELLED

Business

First Name

CECIL

Middle

SAMUEL

Last Name

ASH

Suffix

DDS

Business Name

CECIL SAMUEL ASH DDS

Original Issue Date

08/17/2005

Effective Date

08/17/2005

Expiration Date

09/30/2006

City

LAKEWOOD

State

Zip

44107

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

07/24/2006