MARK D STEVENSON DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023771

License Status

INACTIVE

Business

First Name

MARK D

Last Name

STEVENSON

Suffix

DDS

Business Name

MARK D STEVENSON DDS

Original Issue Date

12/20/1994

Effective Date

12/20/1994

Expiration Date

09/30/1996

City

SOUTH PASADENA

State

Zip

91030

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/12/2005