GLENN A FAMILANT Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025537

License Status

INACTIVE

Business

First Name

GLENN

Middle

Last Name

FAMILANT

Business Name

GLENN A FAMILANT

Original Issue Date

04/30/2001

Effective Date

04/30/2001

Expiration Date

09/30/2002

City

NEWTOWN

State

Zip

18940

Ever Disciplined

LastModifiedDate

10/17/2005