KAMELIA G RADEVA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000002

License Status

NOT RENEWED

Business

First Name

KAMELIA

Middle

Last Name

RADEVA

Suffix

DDS

Business Name

KAMELIA G RADEVA DDS

Original Issue Date

05/08/1998

Effective Date

05/08/1998

Expiration Date

06/30/2000

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005