FRED MACNAIR PACEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012083

License Status

NOT RENEWED

Business

First Name

FRED

Middle

MACNAIR

Last Name

PACEY

Suffix

DDS

Business Name

FRED MACNAIR PACEY DDS

Original Issue Date

08/02/1962

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

GALESBURG

State

Zip

61401

County

KNOX

Ever Disciplined

LastModifiedDate

07/20/2007