TARAS J KONRAD DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024638

License Status

INACTIVE

Business

First Name

TARAS J

Last Name

KONRAD

Suffix

DMD

Business Name

TARAS J KONRAD DMD

Original Issue Date

12/31/1997

Effective Date

12/31/1997

Expiration Date

09/30/2000

City

PHILADELPHIA

State

Zip

19115

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/17/2005