LEO L LAZARE - Dentist License in Illinois | # 018000589

LEO L LAZARE

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000589

License Status

NOT RENEWED

Business

N

First Name

LEO

Middle

L

Last Name

LAZARE

Business Name

LEO L LAZARE

Original Issue Date

08/28/1991

Effective Date

08/28/1991

Expiration Date

07/31/1993

State

IL

Specialty/Qualifier

Endodontics

Ever Disciplined

N

LastModifiedDate

10/12/2005