MARY V DECICCO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019474

License Status

NOT RENEWED

Business

First Name

MARY V

Last Name

DECICCO

Business Name

MARY V DECICCO

Original Issue Date

03/01/1985

Effective Date

03/01/1985

Expiration Date

09/30/1988

City

CONYNGHAM

State

Zip

18219

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/12/2005