FLAVIO ANDRES URIBE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025959

License Status

NOT RENEWED

Business

First Name

FLAVIO

Middle

ANDRES

Last Name

URIBE

Suffix

DDS

Business Name

FLAVIO ANDRES URIBE DDS

Original Issue Date

09/06/2002

Effective Date

09/06/2002

Expiration Date

09/30/2004

City

WEST HARTFORD

State

Zip

06119

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

10/17/2005