WILLIAM LYNN BACON Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****32

License Status

ACTIVE

Business

First Name

WILLIAM

Middle

LYNN

Last Name

BACON

Business Name

WILLIAM LYNN BACON

Original Issue Date

08/26/2002

Effective Date

09/25/2024

Expiration Date

09/30/2027

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/25/2024