MICHAEL LAPORTA JR DDS - Dentist License in Illinois | # 019012308

MICHAEL LAPORTA JR DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012308

License Status

NOT RENEWED

Business

N

First Name

MICHAEL

Last Name

LAPORTA JR

Suffix

DDS

Business Name

MICHAEL LAPORTA JR DDS

Original Issue Date

07/30/1963

Effective Date

09/30/2004

Expiration Date

09/30/2006

State

IL

Ever Disciplined

N

LastModifiedDate

11/08/2006