MELODI DAWN FAVALE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007663

License Status

INACTIVE

Business

First Name

MELODI DAWN

Last Name

FAVALE

Business Name

MELODI DAWN FAVALE

Original Issue Date

07/09/1992

Effective Date

07/09/1992

Expiration Date

09/30/2004

City

SUPRISE

State

Zip

85379

County

ARIZONA

Ever Disciplined

LastModifiedDate

10/17/2005