RAPHAEL PRINCE RICARD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026462

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

11/08/2006