RICHARD MARK VAN BURK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016797

License Status

NOT RENEWED

Business

First Name

RICHARD MARK

Last Name

VAN BURK

Suffix

DMD

Business Name

RICHARD MARK VAN BURK DMD

Original Issue Date

07/10/1979

Effective Date

12/15/2021

Expiration Date

09/30/2024

City

DANVILLE

State

Zip

61832

County

VERMILION

Ever Disciplined

LastModifiedDate

02/04/2025