LARRY KENNETH MACON DMD
Licensed Dentist Controlled Substance
Illinois 319004645 Not Renewed
This Illinois license was held by LARRY KENNETH MACON DMD. The license is no longer active. It was granted on 01/01/1998 and expired on 09/30/2012
LICENSE DETAILS
- License Number: 319004645
- Category: LICENSED DENTIST CONTROLLED SUBSTANCE
- Status: Not Renewed
- Date Granted: 01/01/1998 (over 27 years ago)
- Expiry Date: 09/30/2012 (over 12 years ago)
LOCATIONS
A Address
MOUNT STERLING, IL 62353