LARRY ALAN BARGREN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014255

License Status

NOT RENEWED

Business

Title

DDS

First Name

LARRY

Middle

ALAN

Last Name

BARGREN

Business Name

LARRY ALAN BARGREN DDS

Original Issue Date

07/12/1972

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

ROCKFORD

State

Zip

61112

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

01/08/2010