RAPHAEL PRINCE RICARD DDS - Dentist License in Illinois | # 019026462

RAPHAEL PRINCE RICARD DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026462

License Status

NOT RENEWED

Business

N

First Name

RAPHAEL

Middle

PRINCE

Last Name

RICARD

Suffix

DDS

Business Name

RAPHAEL PRINCE RICARD DDS

Original Issue Date

06/21/2004

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2006