RICARDO YSIDORO MENDOZA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000915

License Status

NOT RENEWED

Business

First Name

RICARDO

Middle

YSIDORO

Last Name

MENDOZA

Business Name

RICARDO YSIDORO MENDOZA

Original Issue Date

12/19/1995

Effective Date

12/19/1995

Expiration Date

06/30/1997

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatric Dentist

Ever Disciplined

LastModifiedDate

07/30/2018