PAUL DEAN LAZAZZERA DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****11

License Status

NOT RENEWED

Business

Title

DDS

First Name

PAUL DEAN

Last Name

LAZAZZERA

Business Name

PAUL DEAN LAZAZZERA DDS

Original Issue Date

11/10/1993

Effective Date

06/11/2015

Expiration Date

09/30/2018

City

ELGIN

State

Zip

60123

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018