CAROL A LOCKWOOD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022923

License Status

ACTIVE

Business

First Name

CAROL

Middle

Last Name

LOCKWOOD

Suffix

DDS

Business Name

CAROL A LOCKWOOD DDS

Original Issue Date

08/01/1992

Effective Date

09/23/2024

Expiration Date

09/30/2027

City

ROSEBURG

State

Zip

97470

Ever Disciplined

LastModifiedDate

08/20/2025

Case Number

2019008262

Action

Suspension

Discipline Start Date

11/12/2019

Discipline End Date

11/21/2019

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 11/25/2019.