MARK DETRICK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013587

License Status

INACTIVE

Business

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

City

EL TORO

State

Zip

92630

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005