Larry Kenneth Macon Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019014917

Status

Expired (Not Renewed)

First issued

July 17, 1974

Expired

September 30, 2012

License holder

Larry Kenneth Macon Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

06/09/2009

Ever disciplined

Yes

Discipline case

1980000024

Discipline action

Suspension

Discipline dates

05/28/1981 to 06/02/1981

Discipline action

Probation

Discipline dates

06/03/1981 to 06/02/1982

Other Illinois licenses under this name

• IL
  Larry Kenneth Macon Dmd

  License 31*****45

  Licensed Dentist Controlled Substance (Dental)
  Expired

  Mount Sterling, IL

  Expired Sep 30, 2012

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