JUSTIN CHARLES MIRANDE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030118

License Status

NOT RENEWED

Business

Title

DDS

First Name

JUSTIN

Middle

CHARLES

Last Name

MIRANDE

Business Name

JUSTIN CHARLES MIRANDE DDS

Original Issue Date

03/10/2015

Effective Date

09/03/2015

Expiration Date

09/30/2018

City

MARION

State

Zip

62959

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/31/2018