STEPHEN J LAVRISA DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****01

License Status

ACTIVE

Business

First Name

STEPHEN J

Last Name

LAVRISA

Suffix

DDS

Business Name

STEPHEN J LAVRISA DDS

Original Issue Date

09/21/1992

Effective Date

05/02/2024

Expiration Date

09/30/2027

City

GENEVA

State

Zip

60134

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/02/2024