MARIA S LAVDA DDS Dentist License verification

Business Entity

EXPIRED

License Type

Dentist

Description

RESTRICTED FACULTY LICENSE

License Number

136000103

License Status

EXPIRED

Business

First Name

MARIA

Middle

Last Name

LAVDA

Suffix

DDS

Business Name

MARIA S LAVDA DDS

Original Issue Date

11/22/2004

Effective Date

10/30/2007

Expiration Date

10/26/2010

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

12/14/2010