JUAN RAFAEL GONZALEZ DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022361

License Status

NOT RENEWED

Business

First Name

JUAN

Middle

RAFAEL

Last Name

GONZALEZ

Suffix

DMD

Business Name

JUAN RAFAEL GONZALEZ DMD

Original Issue Date

02/01/1991

Effective Date

02/01/1991

Expiration Date

09/30/1994

City

VIEQUES

State

Zip

00765

Ever Disciplined

LastModifiedDate

10/12/2005