LAWRENCE ELLIOTT LISTON DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****25

License Status

ACTIVE

Business

First Name

LAWRENCE

Middle

ELLIOTT

Last Name

LISTON

Suffix

DDS

Business Name

LAWRENCE ELLIOTT LISTON DDS

Original Issue Date

09/27/1984

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

GALESBURG

State

Zip

61401

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/28/2024