JEANNE M LAWRENCE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****42

License Status

NOT RENEWED

Business

First Name

JEANNE M

Last Name

LAWRENCE

Suffix

DDS

Business Name

JEANNE M LAWRENCE DDS

Original Issue Date

07/03/1996

Effective Date

07/03/1996

Expiration Date

09/30/1998

City

WAUCONDA

State

Zip

60084

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005