Mark Detrick Dds
InactiveIllinois license 019013587
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019013587
- Status
- Inactive
- First issued
- July 14, 1969
- Expired
- September 30, 1992
- License holder
- Mark Detrick Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/14/1969
Contact
El Toro, CA 92630
California County