DAVID BRADY LAZZARA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021002681

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

BRADY

Last Name

LAZZARA

Business Name

DAVID BRADY LAZZARA

Original Issue Date

08/04/2015

Effective Date

08/04/2015

Expiration Date

09/30/2018

City

ST CHARLES

State

Zip

60175

County

KANE

Specialty/Qualifier

ORTHODONTICS

Ever Disciplined

LastModifiedDate

10/31/2018