EDWARD SIDNEY LANE II DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025174

License Status

NOT RENEWED

Business

First Name

EDWARD

Middle

SIDNEY

Last Name

LANE

Suffix

II DDS

Business Name

EDWARD SIDNEY LANE II DDS

Original Issue Date

12/13/1999

Effective Date

12/13/1999

Expiration Date

09/30/2000

City

GERMANTOWN

State

Zip

38139

County

TENNESSEE

Ever Disciplined

LastModifiedDate

10/17/2005