CARLOS A MEZA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000957

License Status

NOT RENEWED

Business

First Name

CARLOS

Middle

Last Name

MEZA

Business Name

CARLOS A MEZA

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

06/30/1999

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

10/12/2005