PAUL DEAN LAZAZZERA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****10

License Status

NOT RENEWED

Business

Title

DDS

First Name

PAUL DEAN

Last Name

LAZAZZERA

Business Name

PAUL DEAN LAZAZZERA DDS

Original Issue Date

01/01/1998

Effective Date

06/11/2015

Expiration Date

09/30/2018

City

BOLINGBROOK

State

Zip

60490

County

WILL

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018