FEDERICO DIEZ DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024192

License Status

INACTIVE

Business

First Name

FEDERICO

Last Name

DIEZ

Suffix

DDS

Business Name

FEDERICO DIEZ DDS

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

09/30/1998

City

MIRAMAR

State

Zip

33029

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005