FRANCISCO J PICO-FAZZI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000714

License Status

NOT RENEWED

Business

First Name

FRANCISCO J

Last Name

PICO-FAZZI

Suffix

DDS

Business Name

FRANCISCO J PICO-FAZZI DDS

Original Issue Date

10/19/2007

Effective Date

06/04/2009

Expiration Date

09/30/2012

City

PLYMOUTH MEETING

State

Zip

19462

County

PENNSYLVANIA

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

11/14/2012