RICARDO YSIDORO MENDOZA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000044

License Status

NOT RENEWED

Business

First Name

RICARDO

Middle

YSIDORO

Last Name

MENDOZA

Business Name

RICARDO YSIDORO MENDOZA

Original Issue Date

05/08/1997

Effective Date

05/08/1997

Expiration Date

06/30/2002

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

10/13/2005