EUGENE ERNEST MATESI DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012062

License Status

NOT RENEWED

Business

First Name

EUGENE ERNEST

Last Name

MATESI

Suffix

DDS

Business Name

EUGENE ERNEST MATESI DDS

Original Issue Date

08/01/1962

Effective Date

08/01/1962

Expiration Date

09/30/1984

City

PHOENIX

State

Zip

85015

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/12/2005