MARK S RICHEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****35

License Status

NOT RENEWED

Business

First Name

MARK S

Last Name

RICHEY

Business Name

MARK S RICHEY

Original Issue Date

12/14/1988

Effective Date

12/14/1988

Expiration Date

09/30/1990

City

RANCHO SANTA FE

State

Zip

92067

County

CALIFORNIA

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

10/13/2005