ANNA I MENDOZA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020013751

License Status

NOT RENEWED

Business

First Name

ANNA

Middle

Last Name

MENDOZA

Business Name

ANNA I MENDOZA

Original Issue Date

08/02/2011

Effective Date

09/29/2015

Expiration Date

09/30/2018

City

BELVIDERE

State

Zip

61008

County

BOONE

Ever Disciplined

LastModifiedDate

10/31/2018