MARK DEBOER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010427

License Status

NOT RENEWED

Business

First Name

MARK

Last Name

DEBOER

Suffix

DDS

Business Name

MARK DEBOER DDS

Original Issue Date

12/11/1953

Effective Date

12/11/1953

Expiration Date

09/30/1984

City

ELM GROVE

State

Zip

53122

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005