DAVID ROBINSON BULLEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013318

License Status

INACTIVE

Business

First Name

DAVID

Middle

ROBINSON

Last Name

BULLEN

Suffix

DDS

Business Name

DAVID ROBINSON BULLEN DDS

Original Issue Date

07/16/1968

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

FERNANDINA BEACH

State

Zip

32034

Ever Disciplined

LastModifiedDate

07/24/2006