DAVID LANCE TAYLOR DMD - Dentist License in Illinois | # 018000569

DAVID LANCE TAYLOR DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000569

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

DAVID

Middle

LANCE

Last Name

TAYLOR

Business Name

DAVID LANCE TAYLOR DMD

Original Issue Date

07/10/1991

Effective Date

07/10/1991

Expiration Date

06/30/1992

State

IL

Specialty/Qualifier

General Practice Residency

Ever Disciplined

N

LastModifiedDate

10/12/2005