LUIS J BRAVO DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025122

License Status

INACTIVE

Business

First Name

LUIS

Middle

Last Name

BRAVO

Suffix

DMD

Business Name

LUIS J BRAVO DMD

Original Issue Date

09/23/1999

Effective Date

09/23/1999

Expiration Date

09/30/2002

City

HIGHLANDS

State

Zip

80130

County

COLORADO

Ever Disciplined

LastModifiedDate

10/17/2005