License holder summary

STANFORD M BASTACKY is a Dentist, Hygienist, Dental Assistant - Dentist licensed to practice in Michigan. The address on file for STANFORD M BASTACKY is Rockville, MD 208526203. This licensed professional license is not current. The license was granted 03/09/1979 and expired on 08/31/2012.

Michigan

Department of Licensing and Regulation

STANFORD M BASTACKY
Dentist, Hygienist, Dental Assistant - Dentist
License number
2901012080
Date granted
03/09/1979
Date expires
08/31/2012
Class
Dentist, Hygienist, Dental Assistant - Dentist
Status
Lapsed
Address
Rockville, MD 208526203
michiganlicensing.org
ID 25758385
LAST UPDATED 2024-04-17 02:09:06 UTC

This website is unaffiliated with the Department of Licensing and Regulation. Please verify all information directly with the relevant official government authority.

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