RANDALL OLIVA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018189

License Status

INACTIVE

Business

First Name

RANDALL

Last Name

OLIVA

Suffix

DDS

Business Name

RANDALL OLIVA DDS

Original Issue Date

07/16/1982

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

TIERRA VERDE

State

Zip

33715

Ever Disciplined

LastModifiedDate

09/11/2021