GREGORY THOMAS MESSINA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****80

License Status

NOT RENEWED

Business

First Name

GREGORY THOMAS

Last Name

MESSINA

Suffix

DDS

Business Name

GREGORY THOMAS MESSINA DDS

Original Issue Date

03/06/2009

Effective Date

09/17/2012

Expiration Date

09/30/2015

City

MALONE

State

Zip

53049

County

WISCONSIN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016