LUIS ANDRE MENDONCA MEZZOMO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000272

License Status

ACTIVE

Business

First Name

LUIS

Middle

ANDRE MENDONCA

Last Name

MEZZOMO

Business Name

LUIS ANDRE MENDONCA MEZZOMO

Original Issue Date

12/04/2023

Effective Date

08/28/2024

Expiration Date

09/30/2026

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

08/28/2024