BRYAN LARA - Dentist License in Illinois | # 020017496

BRYAN LARA

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017496

License Status

ACTIVE

Business

N

First Name

BRYAN

Last Name

LARA

Business Name

BRYAN LARA

Original Issue Date

01/10/2022

Effective Date

09/20/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/20/2024