LANCE S MCGAVIN DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018002130

License Status

EXPIRED

Business

Title

DDS

First Name

LANCE

Middle

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

City

ALTON

State

Zip

62002

County

MADISON

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

11/19/2020