MELINDA L BURBANO Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008857

License Status

INACTIVE

Business

First Name

MELINDA L

Last Name

BURBANO

Business Name

MELINDA L BURBANO

Original Issue Date

09/19/1996

Effective Date

09/19/1996

Expiration Date

09/30/1998

City

FOREST GROVE

State

Zip

97116

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005