RICHARD GREY LORD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011963

License Status

NOT RENEWED

Business

Title

DDS

First Name

RICHARD

Middle

GREY

Last Name

LORD

Business Name

RICHARD GREY LORD DDS

Original Issue Date

08/04/1961

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

01/08/2010