BRUCE ALAN LACOSTE DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****64

License Status

ACTIVE

Business

First Name

BRUCE ALAN

Last Name

LACOSTE

Suffix

DDS

Business Name

BRUCE ALAN LACOSTE DDS

Original Issue Date

01/01/1998

Effective Date

09/24/2024

Expiration Date

09/30/2027

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/24/2024