JOSHUA A MONDLICK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026230

License Status

INACTIVE

Business

First Name

JOSHUA

Middle

Last Name

MONDLICK

Suffix

DDS

Business Name

JOSHUA A MONDLICK DDS

Original Issue Date

07/29/2003

Effective Date

10/15/2009

Expiration Date

09/30/2012

City

PEORIA

State

Zip

85382

Ever Disciplined

LastModifiedDate

06/06/2012