RICHARD M FANER Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000234

License Status

INACTIVE

Business

First Name

RICHARD M

Last Name

FANER

Business Name

RICHARD M FANER

Original Issue Date

02/15/1990

Effective Date

02/15/1990

Expiration Date

09/30/1992

City

BURKE

State

Zip

22015

County

VIRGINIA

Specialty/Qualifier

Conscious Sedation, Parenteral

Ever Disciplined

LastModifiedDate

10/17/2005