SCOTT RICHARD PECK Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019349

License Status

INACTIVE

Business

First Name

SCOTT RICHARD

Last Name

PECK

Business Name

SCOTT RICHARD PECK

Original Issue Date

10/05/1984

Effective Date

10/05/1984

Expiration Date

09/30/1990

City

BAINBRIDGE ISLAND

State

Zip

98110

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/12/2005