RICHARD L BOSTYAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012458

License Status

INACTIVE

Business

First Name

RICHARD

Middle

Last Name

BOSTYAN

Suffix

DDS

Business Name

RICHARD L BOSTYAN DDS

Original Issue Date

07/14/1964

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

PORT ORANGE

State

Zip

32129

County

FLORIDA

Ever Disciplined

LastModifiedDate

07/24/2006