NIKI J LAGOS DDS - Dentist License in Indiana | # 019022308

NIKI J LAGOS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022308

License Status

NOT RENEWED

Business

N

First Name

NIKI J

Last Name

LAGOS

Suffix

DDS

Business Name

NIKI J LAGOS DDS

Original Issue Date

10/30/1990

Effective Date

10/30/1990

Expiration Date

09/30/1994

State

IN

Ever Disciplined

N

LastModifiedDate

10/12/2005