LUIS PEDRO MIRON CARCAMO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030115

License Status

ACTIVE

Business

First Name

LUIS

Middle

PEDRO

Last Name

MIRON CARCAMO

Business Name

LUIS PEDRO MIRON CARCAMO

Original Issue Date

02/25/2015

Effective Date

06/12/2024

Expiration Date

09/30/2027

City

CONNELL

State

Zip

99326

County

WASHINGTON STATE

Ever Disciplined

LastModifiedDate

06/12/2024