BRUCE ALAN LACOSTE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016019

License Status

ACTIVE

Business

First Name

BRUCE ALAN

Last Name

LACOSTE

Suffix

DDS

Business Name

BRUCE ALAN LACOSTE DDS

Original Issue Date

06/29/1977

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Ever Disciplined

LastModifiedDate

09/24/2024