MICHELE JACLYN EQUINDA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001967

License Status

EXPIRED

Business

Title

DDS

First Name

MICHELE

Middle

JACLYN

Last Name

EQUINDA

Business Name

MICHELE JACLYN EQUINDA DDS

Original Issue Date

08/20/2015

Effective Date

08/20/2015

Expiration Date

05/11/2018

City

NEW YORK

State

Zip

10013

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

07/19/2018