RICKY LANE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021809

License Status

NOT RENEWED

Business

First Name

RICKY

Last Name

LANE

Suffix

DDS

Business Name

RICKY LANE DDS

Original Issue Date

10/18/1989

Effective Date

10/18/1989

Expiration Date

09/30/1992

City

STATESBORO

State

Zip

30458

Ever Disciplined

LastModifiedDate

10/12/2005