LAWRENCE A MULVANEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****77

License Status

NOT RENEWED

Business

First Name

LAWRENCE A

Last Name

MULVANEY

Suffix

DDS

Business Name

LAWRENCE A MULVANEY DDS

Original Issue Date

05/16/1990

Effective Date

08/17/2012

Expiration Date

09/30/2015

City

BELVIDERE

State

Zip

61008

County

BOONE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016