CARLOS A MEZA - Dentist License in Illinois | # 018000957

CARLOS A MEZA

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000957

License Status

NOT RENEWED

Business

N

First Name

CARLOS

Middle

A

Last Name

MEZA

Business Name

CARLOS A MEZA

Original Issue Date

07/19/1996

Effective Date

07/19/1996

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

Periodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005