RICHARD WILLIAM ALCORN DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000032

License Status

NOT RENEWED

Business

Title

DDS

First Name

RICHARD

Middle

WILLIAM

Last Name

ALCORN

Business Name

RICHARD WILLIAM ALCORN DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

11/08/2006