CARTER C MELENDEZ-CHRISTENSEN DMD Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002112

License Status

EXPIRED

Business

Title

DMD

First Name

CARTER

Middle

Last Name

MELENDEZ-CHRISTENSEN

Business Name

CARTER C MELENDEZ-CHRISTENSEN DMD

Original Issue Date

07/12/2019

Effective Date

05/18/2020

Expiration Date

06/30/2024

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/08/2025