RONALD GENE MULLEN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012757

License Status

INACTIVE

Business

First Name

RONALD GENE

Last Name

MULLEN

Suffix

DDS

Business Name

RONALD GENE MULLEN DDS

Original Issue Date

07/15/1965

Effective Date

07/15/1965

Expiration Date

09/30/2004

City

E. ALTON

State

Zip

62024

County

MADISON

Ever Disciplined

LastModifiedDate

10/17/2005