LARRY KENNETH MACON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014917

License Status

NOT RENEWED

Business

First Name

LARRY KENNETH

Last Name

MACON

Suffix

DMD

Business Name

LARRY KENNETH MACON DMD

Original Issue Date

07/17/1974

Effective Date

06/09/2009

Expiration Date

09/30/2012

City

MOUNT STERLING

State

Zip

62353

County

BROWN

Ever Disciplined

LastModifiedDate

11/14/2012

Case Number

1980000024

Action

Suspension

Discipline Start Date

05/28/1981

Discipline End Date

06/02/1981