LACEDRIC REITRICH TOLLIVER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019033799

License Status

ACTIVE

Business

First Name

LACEDRIC

Middle

REITRICH

Last Name

TOLLIVER

Business Name

LACEDRIC REITRICH TOLLIVER

Original Issue Date

06/16/2022

Effective Date

08/14/2024

Expiration Date

09/30/2027

City

SOUTH HOLLAND

State

Zip

60473

Ever Disciplined

LastModifiedDate

08/14/2024

Case Number

2022003307

Action

Reprimand

Discipline Start Date

06/06/2022

Discipline Reason

dental license issued with reprimand due to Applicant's sister-state discipline.