LAWRENCE A MULVANEY DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****95

License Status

NOT RENEWED

Business

First Name

LAWRENCE A

Last Name

MULVANEY

Suffix

DDS

Business Name

LAWRENCE A MULVANEY DDS

Original Issue Date

11/08/2012

Effective Date

11/08/2012

Expiration Date

09/30/2015

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016