LAWRENCE DEAN BACON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019016613

License Status

NOT RENEWED

Business

First Name

LAWRENCE DEAN

Last Name

BACON

Suffix

DMD

Business Name

LAWRENCE DEAN BACON DMD

Original Issue Date

02/16/1979

Effective Date

02/16/1979

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005