CHARLES E LANE - Dentist License in Illinois | # 018000290

CHARLES E LANE

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000290

License Status

NOT RENEWED

Business

N

First Name

CHARLES

Middle

E

Last Name

LANE

Suffix

III

Business Name

CHARLES E LANE

Original Issue Date

08/09/1988

Effective Date

08/09/1988

Expiration Date

06/30/1989

State

IL

Specialty/Qualifier

Orthodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005