LAWRENCE ELLIOTT LISTON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019178

License Status

ACTIVE

Business

First Name

LAWRENCE

Middle

ELLIOTT

Last Name

LISTON

Suffix

DDS

Business Name

LAWRENCE ELLIOTT LISTON DDS

Original Issue Date

08/08/1984

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

10/28/2024