GRETCHEN CEREZAL VERGARA DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032650

License Status

INACTIVE

Business

Title

DMD

First Name

GRETCHEN

Last Name

CEREZAL VERGARA

Business Name

GRETCHEN CEREZAL VERGARA DMD

Original Issue Date

06/02/2020

Effective Date

06/02/2020

Expiration Date

01/31/2022

City

NEW YORK

State

Zip

10016

Ever Disciplined

LastModifiedDate

02/01/2022