RICARDO YSIDORO MENDOZA - Dentist License in Illinois | # 136000044

RICARDO YSIDORO MENDOZA

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000044

License Status

NOT RENEWED

Business

N

First Name

RICARDO

Middle

YSIDORO

Last Name

MENDOZA

Business Name

RICARDO YSIDORO MENDOZA

Original Issue Date

05/08/1997

Effective Date

05/08/1997

Expiration Date

06/30/2002

State

IL

Ever Disciplined

N

LastModifiedDate

10/13/2005