THAIZE LARA MELO DDS - Dentist License in Illinois | # 019028216

THAIZE LARA MELO DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028216

License Status

ACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/12/2024