LAWRENCE MARK LEVINE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012607

License Status

NOT RENEWED

Business

First Name

LAWRENCE MARK

Last Name

LEVINE

Suffix

DDS

Business Name

LAWRENCE MARK LEVINE DDS

Original Issue Date

09/16/1964

Effective Date

09/16/1964

Expiration Date

09/30/1984

City

TERRA LINDA

State

Zip

94903

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005