JUSTIN P SALEM DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023737

License Status

INACTIVE

Business

First Name

JUSTIN P

Last Name

SALEM

Suffix

DDS

Business Name

JUSTIN P SALEM DDS

Original Issue Date

11/10/1994

Effective Date

11/10/1994

Expiration Date

09/30/1996

City

BENNINGTON

State

Zip

05201

County

VERMONT

Ever Disciplined

LastModifiedDate

10/12/2005