David Lane Dds
InactiveIllinois license 019033354
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019033354
- Status
- Inactive
- First issued
- July 26, 2021
- Expired
- September 30, 2024
- License holder
- David Lane
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/26/2021
Contact
Red Hook, NY 12571