RICKY JASON RUBIN DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019027215

License Status

NOT RENEWED

Business

First Name

RICKY

Middle

JASON

Last Name

RUBIN

Suffix

DMD

Business Name

RICKY JASON RUBIN DMD

Original Issue Date

09/08/2006

Effective Date

08/24/2009

Expiration Date

09/30/2012

City

WILLIAMSBURG

State

Zip

23188

County

VIRGINIA

Ever Disciplined

LastModifiedDate

11/14/2012