RICHARD MARK PORT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017143

License Status

NOT RENEWED

Business

First Name

RICHARD MARK

Last Name

PORT

Suffix

DDS

Business Name

RICHARD MARK PORT DDS

Original Issue Date

06/01/1980

Effective Date

09/17/2021

Expiration Date

09/30/2024

City

LINCOLNSHIRE

State

Zip

60069

County

LAKE

Ever Disciplined

LastModifiedDate

02/04/2025