DAVID LANCE TAYLOR DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000569

License Status

NOT RENEWED

Business

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

City

EAST ST LOUIS

State

Zip

62201

County

SAINT CLAIR

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005