LARY MICHAEL PANE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015146

License Status

NOT RENEWED

Business

First Name

LARY

Middle

MICHAEL

Last Name

PANE

Suffix

DDS

Business Name

LARY MICHAEL PANE DDS

Original Issue Date

07/10/1975

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

LOMBARD

State

Zip

60148

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/31/2018

Case Number

1982000058

Action

Probation

Discipline Start Date

11/01/1984

Discipline End Date

02/07/1985