LAURENCE O FITZPATRICK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010814

License Status

NOT RENEWED

Business

First Name

LAURENCE O

Last Name

FITZPATRICK

Suffix

DDS

Business Name

LAURENCE O FITZPATRICK DDS

Original Issue Date

11/23/1955

Effective Date

11/23/1955

Expiration Date

09/30/1998

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005