License Type:
Dentist
License Number:
2901013614
Name:
Mike Kostakos
License Issue Date:
09/12/1983
License Expiration Date:
09/12/2027
License Status:
Active
County:
Oakland
City:
Southfield
State or Province:
Michigan
ZIP or Postal Code:
48076
CS Record Number:
5315186036
CS Status:
CS Expiration Date:
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