License holder summary

Mark Robert Medina is a Dental - Dentist licensed to practice in Colorado. The address on file for Mark Robert Medina is 340 4TH AVE SUITE 1, CHULA VISTA, CA, 92010-2010. This licensed professional license is not current. The license was granted 01/12/1976 and expired on 01/30/1987.

Colorado

Division of Professions and Occupations

Mark Robert Medina
Dental - Dentist
License number
100896
Date granted
01/12/1976
Date expires
01/30/1987
Class
Dental - Dentist
Status
Expired
Address
340 4TH AVE SUITE 1, CHULA VISTA, CA, 92010-2010
coloradolicensing.org
ID 27254137
LAST UPDATED 2024-02-04 00:19:52 UTC

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