PAUL ROBERT MUNGO DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016505

License Status

NOT RENEWED

Business

First Name

PAUL ROBERT

Last Name

MUNGO

Suffix

DDS

Business Name

PAUL ROBERT MUNGO DDS

Original Issue Date

08/04/1978

Effective Date

08/04/1978

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005