GERARD PETER DEBRUIN DDS - Dentist License in California | # 019012684

GERARD PETER DEBRUIN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012684

License Status

NOT RENEWED

Business

N

First Name

GERARD PETER

Last Name

DEBRUIN

Suffix

DDS

Business Name

GERARD PETER DEBRUIN DDS

Original Issue Date

07/15/1965

Effective Date

07/15/1965

Expiration Date

09/30/1988

State

CA

Ever Disciplined

N

LastModifiedDate

10/12/2005