MARK D D'ALISE - Dentist License in New Mexico | # 019018924

MARK D D'ALISE

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018924

License Status

NOT RENEWED

Business

N

First Name

MARK D

Last Name

D'ALISE

Business Name

MARK D D'ALISE

Original Issue Date

12/02/1983

Effective Date

12/02/1983

Expiration Date

09/30/1988

State

NM

Ever Disciplined

N

LastModifiedDate

10/12/2005