Derrik Lance Richard Dmd
ExpiredIllinois license 31*****72
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****72
- Status
- Expired (Not Renewed)
- First issued
- October 16, 1998
- Expired
- January 31, 2022
- License holder
- Derrik Lance Richard Dmd
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Controlled substance schedules
- II III IV V
- Current term began
- 10/01/2018
Other Illinois licenses under this name
-
IL
ActiveEdwardsville, ILExpires Sep 30, 2027
-
IL
ExpiredEdwardsville, ILExpired Sep 30, 2024
Contact
Edwardsville, IL 62025
Madison County