Richard Mark Port
ExpiredCalifornia license 51018
License
- Licensed by
- Dental Board of California
- License number
- 51018
- Status
- Expired (Delinquent)
- First issued
- June 20, 2003
- Expired
- November 30, 2022
- License holder
- Richard Mark Port
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
825 Stables Ct W
Highwood, IL 60040-2056
Highwood, IL 60040-2056
Lake County