NIKI J LAGOS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022308

License Status

NOT RENEWED

Business

First Name

NIKI J

Last Name

LAGOS

Suffix

DDS

Business Name

NIKI J LAGOS DDS

Original Issue Date

10/30/1990

Effective Date

10/30/1990

Expiration Date

09/30/1994

City

MUNSTER

State

Zip

46321

County

INDIANA

Ever Disciplined

LastModifiedDate

10/12/2005