MARK A LARUSSO DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019023654

License Status

INACTIVE

Business

First Name

MARK A

Last Name

LARUSSO

Suffix

DDS

Business Name

MARK A LARUSSO DDS

Original Issue Date

08/11/1994

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

VIRGINIA BEACH

State

Zip

23454

County

VIRGINIA

Ever Disciplined

LastModifiedDate

06/04/2009