LAWRENCE ALAN BLACKSTONE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012282

License Status

NOT RENEWED

Business

First Name

LAWRENCE ALAN

Last Name

BLACKSTONE

Suffix

DDS

Business Name

LAWRENCE ALAN BLACKSTONE DDS

Original Issue Date

01/01/1998

Effective Date

10/15/2012

Expiration Date

09/30/2015

City

PALATINE

State

Zip

60074

County

COOK

Ever Disciplined

LastModifiedDate

02/08/2016