RICHARD S PROUSE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018789

License Status

NOT RENEWED

Business

First Name

RICHARD S

Last Name

PROUSE

Business Name

RICHARD S PROUSE

Original Issue Date

09/02/1983

Effective Date

09/02/1983

Expiration Date

09/30/1986

City

SIMI VALLEY

State

Zip

93065

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005