RICKY LANE DDS - Dentist License in Georgia | # 019021809

RICKY LANE DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021809

License Status

NOT RENEWED

Business

N

First Name

RICKY

Last Name

LANE

Suffix

DDS

Business Name

RICKY LANE DDS

Original Issue Date

10/18/1989

Effective Date

10/18/1989

Expiration Date

09/30/1992

State

GA

Ever Disciplined

N

LastModifiedDate

10/12/2005