RICHARD MARK VAN BURK DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****52

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

01/01/1998

Expiration Date

09/30/2006

City

DANVILLE

State

Zip

61832

County

VERMILION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/08/2006