JULIE A LAVERDIERE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000456

License Status

NOT RENEWED

Business

First Name

JULIE A

Last Name

LAVERDIERE

Suffix

DDS

Business Name

JULIE A LAVERDIERE DDS

Original Issue Date

06/27/1990

Effective Date

06/27/1990

Expiration Date

06/30/1991

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005