RENATA REGALADO DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002122

License Status

ACTIVE

Business

First Name

RENATA

Last Name

REGALADO

Suffix

DMD

Business Name

RENATA REGALADO DMD

Original Issue Date

11/03/2004

Effective Date

08/07/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

08/07/2024