DARRYL A BIVENS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022153

License Status

NOT RENEWED

Business

First Name

DARRYL A

Last Name

BIVENS

Suffix

DDS

Business Name

DARRYL A BIVENS DDS

Original Issue Date

08/10/1990

Effective Date

08/10/1990

Expiration Date

09/30/1992

City

LOS ANGELES

State

Zip

90230

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005