LAURA SOFIA PESQUERA COLOM DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002252

License Status

ACTIVE

Business

Title

DMD

First Name

LAURA

Middle

SOFIA

Last Name

PESQUERA COLOM

Business Name

LAURA SOFIA PESQUERA COLOM DMD

Original Issue Date

08/08/2023

Effective Date

08/08/2023

City

BROOKLINE

State

Zip

02446

Specialty/Qualifier

Periodontics

Ever Disciplined

LastModifiedDate

07/19/2023