EDWARD SIDNEY LANE II DDS - Dentist License in Tennessee | # 019025174

EDWARD SIDNEY LANE II DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025174

License Status

NOT RENEWED

Business

N

First Name

EDWARD

Middle

SIDNEY

Last Name

LANE

Suffix

II DDS

Business Name

EDWARD SIDNEY LANE II DDS

Original Issue Date

12/13/1999

Effective Date

12/13/1999

Expiration Date

09/30/2000

State

TN

Ever Disciplined

N

LastModifiedDate

10/17/2005