DARRYL A BIVENS DDS - Dentist License in California | # 019022153

DARRYL A BIVENS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022153

License Status

NOT RENEWED

Business

N

First Name

DARRYL A

Last Name

BIVENS

Suffix

DDS

Business Name

DARRYL A BIVENS DDS

Original Issue Date

08/10/1990

Effective Date

08/10/1990

Expiration Date

09/30/1992

State

CA

Ever Disciplined

N

LastModifiedDate

10/12/2005