RICARDO YSIDORO MENDOZA - Dentist License in Illinois | # 018000915

RICARDO YSIDORO MENDOZA

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000915

License Status

NOT RENEWED

Business

N

First Name

RICARDO

Middle

YSIDORO

Last Name

MENDOZA

Business Name

RICARDO YSIDORO MENDOZA

Original Issue Date

12/19/1995

Effective Date

12/19/1995

Expiration Date

06/30/1997

State

IL

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

N

LastModifiedDate

07/30/2018