DAVID D DALISE DDS - Dentist License in New Mexico | # 019012681

DAVID D DALISE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012681

License Status

NOT RENEWED

Business

N

First Name

DAVID D

Last Name

DALISE

Suffix

DDS

Business Name

DAVID D DALISE DDS

Original Issue Date

07/15/1965

Effective Date

07/15/1965

Expiration Date

09/30/2000

State

NM

Ever Disciplined

N

LastModifiedDate

10/17/2005