GERARD PETER DEBRUIN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012684

License Status

NOT RENEWED

Business

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

City

LIVERMORE

State

Zip

94550

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005