MARK DETRICK DDS - Dentist License in California | # 019013587

MARK DETRICK DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013587

License Status

INACTIVE

Business

N

First Name

MARK

Last Name

DETRICK

Suffix

DDS

Business Name

MARK DETRICK DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1992

State

CA

Ever Disciplined

N

LastModifiedDate

10/12/2005