RAPHAEL R PUTRUS DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019031029

License Status

NOT RENEWED

Business

Title

DMD

First Name

RAPHAEL

Middle

Last Name

PUTRUS

Business Name

RAPHAEL R PUTRUS DMD

Original Issue Date

02/08/2017

Effective Date

12/16/2021

Expiration Date

09/30/2024

City

BLOOMFIELD HILLS

State

Zip

48302

Ever Disciplined

LastModifiedDate

01/30/2026