RICARDO ULISES MELCHOR PALMA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032161

License Status

NOT RENEWED

Business

First Name

RICARDO

Middle

ULISES

Last Name

MELCHOR PALMA

Business Name

RICARDO ULISES MELCHOR PALMA

Original Issue Date

06/05/2019

Effective Date

10/19/2021

Expiration Date

09/30/2024

City

WASHINGTON

State

Zip

61571

County

TAZEWELL

Ever Disciplined

LastModifiedDate

02/04/2025