MARY M O'CONNOR Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

CANCELLED

Business

First Name

MARY M

Last Name

O'CONNOR

Business Name

MARY M O'CONNOR

Original Issue Date

10/15/1987

Effective Date

10/15/1987

Expiration Date

09/30/1992

City

SAN DIEGO

State

Zip

92116

County

CALIFORNIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005