RANDALL R PENN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017252

License Status

NOT RENEWED

Business

First Name

RANDALL R

Last Name

PENN

Suffix

DDS

Business Name

RANDALL R PENN DDS

Original Issue Date

07/10/1980

Effective Date

07/10/1980

Expiration Date

09/30/1984

City

YPSILANTI

State

Zip

48197

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/12/2005