CHARLES E LANE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000290

License Status

NOT RENEWED

Business

First Name

CHARLES

Middle

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

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Orthodontics

Ever Disciplined

LastModifiedDate

10/12/2005