RAUL FAVELA DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025610

License Status

INACTIVE

Business

First Name

RAUL

Last Name

FAVELA

Suffix

DDS

Business Name

RAUL FAVELA DDS

Original Issue Date

08/02/2001

Effective Date

08/02/2001

Expiration Date

09/30/2002

City

QUINCY

State

Zip

62301

County

ADAMS

Ever Disciplined

LastModifiedDate

10/17/2005