BERNIDA JASIEWIC IQBAL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019428

License Status

INACTIVE

Business

First Name

BERNIDA JASIEWIC

Last Name

IQBAL

Business Name

BERNIDA JASIEWIC IQBAL

Original Issue Date

12/10/1984

Effective Date

12/10/1984

Expiration Date

09/30/1994

City

GALLUP

State

Zip

87301

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

10/12/2005