ROSS M LECAVALIER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****71

License Status

NOT RENEWED

Business

First Name

ROSS M

Last Name

LECAVALIER

Business Name

ROSS M LECAVALIER

Original Issue Date

10/22/1986

Effective Date

10/22/1986

Expiration Date

09/30/1998

City

LIBERTYVILLE

State

Zip

60048

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005