CHAD M CRAVATTA DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000534

License Status

INACTIVE

Business

First Name

CHAD

Middle

Last Name

CRAVATTA

Suffix

DMD

Business Name

CHAD M CRAVATTA DMD

Original Issue Date

09/28/2001

Effective Date

09/28/2001

Expiration Date

09/30/2006

City

MESA

State

Zip

85202

County

ARIZONA

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

07/24/2006