MARK ANTHONY MANUEL MENDIOLA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026772

License Status

ACTIVE

Business

First Name

MARK ANTHONY

Middle

MANUEL

Last Name

MENDIOLA

Suffix

DDS

Business Name

MARK ANTHONY MANUEL MENDIOLA DDS

Original Issue Date

06/09/2005

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

09/30/2024