GEORGE T LAZOPOULOS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****00

License Status

ACTIVE

Business

First Name

GEORGE T

Last Name

LAZOPOULOS

Business Name

GEORGE T LAZOPOULOS

Original Issue Date

11/18/1988

Effective Date

09/15/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61101

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/15/2024