DAVID LANE DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033354

License Status

INACTIVE

Business

Title

DDS

First Name

DAVID

Last Name

LANE

Business Name

DAVID LANE DDS

Original Issue Date

07/26/2021

Effective Date

07/26/2021

Expiration Date

09/30/2024

City

RED HOOK

State

Zip

12571

Ever Disciplined

LastModifiedDate

05/01/2024