BUKARIS R ANUGERAH DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022440

License Status

INACTIVE

Business

First Name

BUKARIS R

Last Name

ANUGERAH

Suffix

DDS

Business Name

BUKARIS R ANUGERAH DDS

Original Issue Date

04/22/1991

Effective Date

04/22/1991

Expiration Date

09/30/1994

City

WILLIS

State

Zip

77318

Ever Disciplined

LastModifiedDate

10/12/2005