PRISCILLA COSTA TAYLOR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031452

License Status

INACTIVE

Business

Title

DDS

First Name

PRISCILLA

Middle

COSTA

Last Name

TAYLOR

Business Name

PRISCILLA COSTA TAYLOR DDS

Original Issue Date

11/14/2017

Effective Date

11/14/2017

Expiration Date

09/30/2018

City

UKIAH

State

Zip

95482

Ever Disciplined

LastModifiedDate

06/07/2018