STANLEY J PATCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018968

License Status

NOT RENEWED

Business

First Name

STANLEY J

Last Name

PATCH

Business Name

STANLEY J PATCH

Original Issue Date

03/02/1984

Effective Date

03/02/1984

Expiration Date

09/30/1984

City

FAIRFAX

State

Zip

22033

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/12/2005