MARK JASON GUEVARRA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002905

License Status

NOT RENEWED

Business

First Name

MARK

Middle

JASON

Last Name

GUEVARRA

Business Name

MARK JASON GUEVARRA

Original Issue Date

09/25/2018

Effective Date

09/25/2018

Expiration Date

01/31/2022

City

DES MOINES

State

Zip

50312

Specialty/Qualifier

ORTHODONTICS AND DENTOFACIAL ORTHOPEDICS

Ever Disciplined

LastModifiedDate

05/09/2022