JOHN PHILLIP LAVIERI DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000175

License Status

ACTIVE

Business

First Name

JOHN PHILLIP

Last Name

LAVIERI

Suffix

DDS

Business Name

JOHN PHILLIP LAVIERI DDS

Original Issue Date

01/01/1998

Effective Date

09/03/2024

Expiration Date

09/30/2027

City

LA SALLE

State

Zip

61301

County

LA SALLE

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

09/03/2024