JOHN WALTER PACEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010940

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

WALTER

Last Name

PACEY

Business Name

JOHN WALTER PACEY

Original Issue Date

08/20/1956

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/20/2007