THAIZE LARA MELO DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028216

License Status

ACTIVE

Business

First Name

THAIZE

Middle

LARA

Last Name

MELO

Suffix

DDS

Business Name

THAIZE LARA MELO DDS

Original Issue Date

03/16/2010

Effective Date

09/12/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

09/12/2024