DARRYL JAY PENA BANEZ DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031166

License Status

NOT RENEWED

Business

Title

DDS

First Name

DARRYL JAY

Middle

PENA

Last Name

BANEZ

Business Name

DARRYL JAY PENA BANEZ DDS

Original Issue Date

06/05/2017

Effective Date

09/12/2018

Expiration Date

01/31/2022

City

LAS VEGAS

State

Zip

89142

County

NEVADA

Ever Disciplined

LastModifiedDate

05/09/2022