GLEN J PICHICHERO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019414

License Status

NOT RENEWED

Business

First Name

GLEN J

Last Name

PICHICHERO

Business Name

GLEN J PICHICHERO

Original Issue Date

11/27/1984

Effective Date

11/27/1984

Expiration Date

09/30/1986

City

TAMMS

State

Zip

62988

County

ALEXANDER

Ever Disciplined

LastModifiedDate

10/12/2005