DENNIS JAMES GUARDIA DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015789

License Status

INACTIVE

Business

First Name

DENNIS JAMES

Last Name

GUARDIA

Suffix

DMD

Business Name

DENNIS JAMES GUARDIA DMD

Original Issue Date

12/28/1976

Effective Date

09/11/2012

Expiration Date

09/30/2015

City

MOUNT OLIVE

State

Zip

62069

County

MACOUPIN

Ever Disciplined

LastModifiedDate

06/08/2015