JULIE ANNE BACON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002163

License Status

ACTIVE

Business

First Name

JULIE

Middle

ANNE

Last Name

BACON

Business Name

JULIE ANNE BACON

Original Issue Date

09/26/2005

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Specialty/Qualifier

PERIODONTICS

Ever Disciplined

LastModifiedDate

09/30/2024