PHILIP JAMES MODJESKI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019008164

License Status

NOT RENEWED

Business

First Name

PHILIP JAMES

Last Name

MODJESKI

Suffix

DDS

Business Name

PHILIP JAMES MODJESKI DDS

Original Issue Date

07/29/1941

Effective Date

07/29/1941

City

RICHMOND

State

Zip

23219

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/12/2005