LANCE S MCGAVIN DDS - Dentist License in Illinois | # 018002130

LANCE S MCGAVIN DDS

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002130

License Status

EXPIRED

Business

N

Title

DDS

First Name

LANCE

Middle

S

Last Name

MCGAVIN

Business Name

LANCE S MCGAVIN DDS

Original Issue Date

02/04/2020

Effective Date

02/04/2020

Expiration Date

06/30/2020

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

11/19/2020