OLGA ADRIANE MENDEZ DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001524

License Status

EXPIRED

Business

First Name

OLGA

Middle

ADRIANE

Last Name

MENDEZ

Suffix

DDS

Business Name

OLGA ADRIANE MENDEZ DDS

Original Issue Date

10/21/2004

Effective Date

10/21/2004

Expiration Date

06/30/2007

City

WOODRIDGE

State

Zip

60517

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

07/03/2007