ROBERT LAWRENCE LARISON Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****59

License Status

NOT RENEWED

Business

First Name

ROBERT LAWRENCE

Last Name

LARISON

Business Name

ROBERT LAWRENCE LARISON

Original Issue Date

09/28/1984

Effective Date

02/15/2022

Expiration Date

09/30/2024

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025