RICHARD CHARLES HABAKUK DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016740

License Status

INACTIVE

Business

First Name

RICHARD CHARLES

Last Name

HABAKUK

Suffix

DDS

Business Name

RICHARD CHARLES HABAKUK DDS

Original Issue Date

07/03/1979

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

SANTA FE

State

Zip

87508

County

NEW MEXICO

Ever Disciplined

LastModifiedDate

06/04/2009