DAVID BRADY LAZZARA - Dentist License in Illinois | # 019030094

DAVID BRADY LAZZARA

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030094

License Status

NOT RENEWED

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022