LEO L LAZARE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000589

License Status

NOT RENEWED

Business

First Name

LEO

Middle

Last Name

LAZARE

Business Name

LEO L LAZARE

Original Issue Date

08/28/1991

Effective Date

08/28/1991

Expiration Date

07/31/1993

City

MAYWOOD

State

Zip

60153

County

COOK

Specialty/Qualifier

Endodontics

Ever Disciplined

LastModifiedDate

10/12/2005