CHAD M CRAVATTA DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002029

License Status

INACTIVE

Business

First Name

CHAD

Middle

Last Name

CRAVATTA

Suffix

DMD

Business Name

CHAD M CRAVATTA DMD

Original Issue Date

08/07/2002

Effective Date

08/07/2002

Expiration Date

09/30/2006

City

MESA

State

Zip

85202

County

ARIZONA

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

07/24/2006