License holder summary

Lilley, Jack W is a Dental Specialist licensed to practice in Missouri. The address on file for Lilley, Jack W is 2844 S. Ingram Mill Rd. , Springfield 65804. This licensed professional license is current. The license was granted 07/10/1978 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Lilley, Jack W
Dental Specialist
License number
013005  
Date granted
07/10/1978
Date expires
11/30/2014
Class
Dental Specialist
Status
Clear
Address
2844 S. Ingram Mill Rd. 
licensingmissouri.org
ID 2013403
LAST UPDATED 2026-05-02 12:37:08 UTC

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