LAWRENCE A MULVANEY DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

LAWRENCE A

Last Name

MULVANEY

Suffix

DDS

Business Name

LAWRENCE A MULVANEY DDS

Original Issue Date

10/19/2012

Effective Date

08/22/2024

Expiration Date

09/30/2027

City

PARK CITY

State

Zip

60085

County

LAKE

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/22/2024