DAVID BRADY LAZZARA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030094

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BRADY

Last Name

LAZZARA

Business Name

DAVID BRADY LAZZARA

Original Issue Date

12/24/2014

Effective Date

08/15/2018

Expiration Date

01/31/2022

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

05/09/2022