DAVID J DEPORTER DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015447

License Status

INACTIVE

Business

First Name

DAVID

Middle

Last Name

DEPORTER

Suffix

DDS

Business Name

DAVID J DEPORTER DDS

Original Issue Date

04/30/1976

Effective Date

04/30/1976

Expiration Date

09/30/1990

City

PEMBROKE PINES

State

Zip

33029

Ever Disciplined

LastModifiedDate

10/12/2005