LAURENCE ANTHONY GOLDEN DDS - Dentist License in Illinois | # 018001121

LAURENCE ANTHONY GOLDEN DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018001121

License Status

NOT RENEWED

Business

N

First Name

LAURENCE

Middle

ANTHONY

Last Name

GOLDEN

Suffix

DDS

Business Name

LAURENCE ANTHONY GOLDEN DDS

Original Issue Date

08/21/1998

Effective Date

08/21/1998

Expiration Date

06/30/1999

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005