ROBERT LAWRENCE LARISON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019019

License Status

ACTIVE

Business

First Name

ROBERT LAWRENCE

Last Name

LARISON

Business Name

ROBERT LAWRENCE LARISON

Original Issue Date

07/19/1984

Effective Date

09/17/2024

Expiration Date

09/30/2027

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/17/2024