LAWRENCE DEAN BACON DMD - Dentist License in Illinois | # 019016613

LAWRENCE DEAN BACON DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016613

License Status

NOT RENEWED

Business

N

First Name

LAWRENCE DEAN

Last Name

BACON

Suffix

DMD

Business Name

LAWRENCE DEAN BACON DMD

Original Issue Date

02/16/1979

Effective Date

02/16/1979

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005