WAYNE BENNETT LAPETODA Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017976

License Status

INACTIVE

Business

First Name

WAYNE BENNETT

Last Name

LAPETODA

Business Name

WAYNE BENNETT LAPETODA

Original Issue Date

02/09/1982

Effective Date

02/09/1982

Expiration Date

09/30/1990

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

10/12/2005