LACEDRIC REITRICH TOLLIVER - Dentist License in Illinois | # 019033799

LACEDRIC REITRICH TOLLIVER

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033799

License Status

ACTIVE

Business

N

First Name

LACEDRIC

Middle

REITRICH

Last Name

TOLLIVER

Business Name

LACEDRIC REITRICH TOLLIVER

Original Issue Date

06/16/2022

Effective Date

08/14/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

Y

LastModifiedDate

08/14/2024

Case Number

2022003307

Action

Reprimand

Discipline Start Date

06/06/2022

Discipline Reason

dental license issued with reprimand due to Applicant's sister-state discipline.