MARK D D'ALISE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018924

License Status

NOT RENEWED

Business

First Name

MARK D

Last Name

D'ALISE

Business Name

MARK D D'ALISE

Original Issue Date

12/02/1983

Effective Date

12/02/1983

Expiration Date

09/30/1988

City

ALBUQUERQUE

State

Zip

87102

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/12/2005