DERRIK LANCE RICHARD DMD - Dentist License in Illinois | # 019024830

DERRIK LANCE RICHARD DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024830

License Status

ACTIVE

Business

N

First Name

DERRIK

Middle

LANCE

Last Name

RICHARD

Suffix

DMD

Business Name

DERRIK LANCE RICHARD DMD

Original Issue Date

09/04/1998

Effective Date

08/31/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/31/2024