DAVID ROBINSON BULLEN DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****68

License Status

CANCELLED

Business

First Name

DAVID

Middle

ROBINSON

Last Name

BULLEN

Suffix

DDS

Business Name

DAVID ROBINSON BULLEN DDS

Original Issue Date

01/01/1998

Effective Date

01/01/1998

Expiration Date

09/30/2006

City

FERNANDINA BEACH

State

Zip

32034

Controlled Substance Schedule

II III

Ever Disciplined

LastModifiedDate

07/24/2006