LAWRENCE LOUIS MELAIK DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012259

License Status

NOT RENEWED

Business

Title

DDS

First Name

LAWRENCE

Middle

LOUIS

Last Name

MELAIK

Business Name

LAWRENCE LOUIS MELAIK DDS

Original Issue Date

07/25/1963

Effective Date

08/08/2012

Expiration Date

09/30/2015

City

PEORIA

State

Zip

61614

County

PEORIA

Ever Disciplined

LastModifiedDate

02/08/2016